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 $30.90 Median $30.90 Typical High $54.95 | Facility | None | $30.90 | $30.90 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $32.36 Typical High $33.11 | Facility | TC · Technical part | $19.50 | $32.36 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $30.90 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $12.02 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $19.50 | $20.42 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $29.51 | $31.62 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $13.49 | $22.91 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $26.30 | $36.31 | $69.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $15.85 | $27.54 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $15.14 | $21.38 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $77.62 | Facility | None | $46.77 | $56.23 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $29.51 | $31.62 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $12.88 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $38.02 | Professional | TC · Technical part | $15.85 | $19.95 | $38.02 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $288.40 | $288.40 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $114.82 | $204.17 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $229.09 | $229.09 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $31.62 | $37.15 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $16.22 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $20.89 | $41.69 |
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 $15.49 Median $15.49 Typical High $18.20 | Professional | 52 · Reduced service | $15.49 | $15.49 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $25.12 | $28.18 |
Where Tennessee sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$40.74
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.