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 $69.18 Median $131.83 Typical High $162.18 | Facility | None | $69.18 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $47.86 | $48.98 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $97.72 | $186.21 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $60.26 | $120.23 |
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 $123.03 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $123.03 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $83.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $44.67 | $47.86 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,445.44 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $870.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $151.36 | $173.78 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $104.71 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $69.18 | $97.72 |
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 $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | FX · Film X-ray | $104.71 | $104.71 | $120.23 |
Where Tennessee sits
The same service costs 4.2 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· 38th of 51
$170
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.