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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $77.62 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $21.38 | $33.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $20.89 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $20.89 | $95.50 | $181.97 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $83.18 | $141.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $29.51 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $251.19 | Facility | None | $151.36 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $75.86 | $104.71 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $70.79 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $83.18 | Professional | TC · Technical part | $20.89 | $27.54 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 26 · Professional part | $512.86 | $512.86 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $85.11 | $112.20 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $79.43 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $77.62 | Professional | TC · Technical part | $22.91 | $28.84 | $77.62 |
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 $38.02 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $61.66 | $61.66 | $64.57 |
Where Tennessee sits
The same service costs 5.2 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· 35th of 51
$107
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.