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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $42.66 | $50.12 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $95.50 | $117.49 | $229.09 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $63.10 | $125.89 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $56.23 | $109.65 |
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 $91.20 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $91.20 | $97.72 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $39.81 | $42.66 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None (both parts) | $741.31 | $741.31 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | 26 · Professional part | $407.38 | $407.38 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $117.49 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $63.10 | $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 $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | FX · Film X-ray | $77.62 | $77.62 | $89.13 |
Where Tennessee sits
The same service costs 4.5 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· 37th of 51
$132
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.