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 $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 $104.71 | Professional | None (both parts) | $74.13 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $29.51 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $45.71 | $46.77 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $81.28 | $154.88 | $165.96 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $66.07 | $97.72 | $173.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $38.90 | $69.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $61.66 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $147.91 Typical High $218.78 | Facility | None | $114.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $173.78 | Professional | None (both parts) | $69.18 | $79.43 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $30.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $42.66 | $47.86 | $102.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $602.56 | $602.56 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $213.80 | $213.80 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | TC · Technical part | $380.19 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $83.18 | $102.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $38.90 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $60.26 | $104.71 |
2 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 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 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | 59 · Distinct service | $67.61 | $67.61 | $70.79 |
Where Tennessee sits
The same service costs 3.7 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· 26th of 51
$110
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.