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 $85.11 Median $85.11 Typical High $112.20 | Facility | None | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $26.30 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $60.26 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $75.86 | $109.65 | $199.53 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $33.88 | $60.26 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $263.03 | Facility | None | $120.23 | $162.18 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $77.62 | $87.10 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $27.54 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $57.54 | $131.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $645.65 | $645.65 | $831.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | TC · Technical part | $467.74 | $467.74 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $93.33 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $75.86 | $134.90 |
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 $42.66 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | FX · Film X-ray | $67.61 | $67.61 | $77.62 |
Where Tennessee sits
The same service costs 4.2 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· 21st of 51
$120
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.