How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $131.83 Median $131.83 Typical High $190.55 | Facility | None | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $131.83 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $42.66 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $91.20 | $93.33 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $44.67 | $77.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $104.71 | $158.49 | $288.40 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $48.98 | $97.72 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $120.23 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $426.58 | Facility | None | $169.82 | $257.04 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $123.03 | $147.91 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $44.67 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $104.71 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,023.29 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $302.00 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $724.44 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $131.83 | $169.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $51.29 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $120.23 | $229.09 |
1 more rate 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 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 5.2 times more in Alaska than in New York. 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· 20th of 51
$182
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.