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 $213.80 Median $213.80 Typical High $223.87 | Facility | None | $213.80 | $213.80 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $218.78 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $70.79 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $151.36 | $158.49 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $194.98 | $194.98 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $87.10 | $162.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $199.53 | $263.03 | $501.19 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $91.20 | $162.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $186.21 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $794.33 | Facility | None | $380.19 | $489.78 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $177.83 | $213.80 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $74.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $147.91 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,238.72 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | 26 · Professional part | $501.19 | $501.19 | $660.69 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,584.89 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $186.21 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $91.20 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $181.97 | $346.74 |
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 $112.20 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | FX · Film X-ray | $177.83 | $177.83 | $199.53 |
Where Tennessee sits
The same service costs 5.0 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· 25th of 51
$295
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.