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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $38.02 | Professional | None (both parts) | $25.12 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $8.32 | $8.71 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $28.18 | Professional | TC · Technical part | $16.98 | $17.78 | $28.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $20.42 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $20.42 | $32.36 | $61.66 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $13.18 | $23.99 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $15.14 | $20.89 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $48.98 Typical High $97.72 | Facility | None | $44.67 | $48.98 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $24.55 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $11.48 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $22.39 | $45.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $199.53 | $199.53 | $275.42 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $144.54 | $144.54 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $26.30 | $35.48 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $11.48 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $22.91 | $42.66 |
2 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 FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | FX · Film X-ray | $20.42 | $20.42 | $23.99 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $50.12 | $50.12 | $50.12 |
Where Tennessee sits
The same service costs 3.8 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· 25th of 51
$38.90
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.