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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | TC · Technical part | $38.02 | $38.02 | $45.71 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $11.75 Median $66.07 Typical High $154.88 | Professional | None (both parts) | $11.75 | $66.07 | $154.88 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $36.31 | $69.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $40.74 Typical High $91.20 | Professional | TC · Technical part | $21.88 | $40.74 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $91.20 | Facility | None | $54.95 | $64.57 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $50.12 | $67.61 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $30.20 | $39.81 | $77.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 26 · Professional part | $263.03 | $263.03 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $42.66 | $77.62 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $20.89 | $33.11 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $18.62 | $43.65 | $81.28 |
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 $33.11 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | FX · Film X-ray | $52.48 | $52.48 | $54.95 |
Where Tennessee sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 39th of 51
$70.79
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.