How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $38.02 | Facility | None | $4.79 | $4.79 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $38.02 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $19.05 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $19.95 | $32.36 |
BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $37.15 | $72.44 | $125.89 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $18.20 | $32.36 | $54.95 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $18.62 | $42.66 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $162.18 | Facility | None | $50.12 | $85.11 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $123.03 | Professional | None (both parts) | $36.31 | $48.98 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $17.78 | $23.44 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $69.18 | Professional | TC · Technical part | $18.62 | $24.55 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $44.67 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $28.18 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $22.91 | $35.48 | $60.26 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | FX · Film X-ray | $30.20 | $30.20 | $35.48 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Tennessee· 24th of 51
$69.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.