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 $74.13 Typical High $87.10 | Professional | None (both parts) | $74.13 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $45.71 | $72.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $50.12 | $77.62 | $154.88 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $40.74 | $67.61 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $58.88 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $218.78 | Facility | None | $128.82 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $72.44 | $112.20 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $43.65 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $44.67 | $69.18 | $104.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $831.76 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $245.47 | $245.47 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $676.08 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $85.11 | $102.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $63.10 | $107.15 |
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 $39.81 | Professional | 52 · Reduced service | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | FX · Film X-ray | $58.88 | $58.88 | $63.10 |
Where Tennessee sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 35th of 51
$102
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.