How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $74.13 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $41.69 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $35.48 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $64.57 | $69.18 | $138.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $66.07 | $97.72 | $177.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $53.70 | $97.72 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $47.86 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $380.19 | Facility | None | $117.49 | $141.25 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $69.18 | $83.18 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $44.67 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $31.62 | $37.15 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $309.03 | Facility | None | $154.88 | $154.88 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $83.18 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $53.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $46.77 | $81.28 |
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 $37.15 Median $37.15 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | FX · Film X-ray | $60.26 | $60.26 | $66.07 |
Where Tennessee sits
The same service costs 4.2 times more in Alaska than in Texas. 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· 33rd of 51
$100
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.