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 $87.10 Median $112.20 Typical High $138.04 | Facility | None | $87.10 | $112.20 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $107.15 | Professional | None | $64.57 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $61.66 | Professional | 52 · Reduced service | $33.88 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $24.55 | Professional | 53 · Discontinued | $13.49 | $14.13 | $24.55 |
BCBS Tennessee Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $181.97 | Professional | None | $75.86 | $104.71 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $208.93 Typical High $309.03 | Facility | None | $147.91 | $208.93 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $173.78 | Professional | None | $66.07 | $102.33 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $181.97 | Professional | None | $69.18 | $83.18 | $181.97 |
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 $47.86 Median $56.23 Typical High $109.65 | Professional | FX · Film X-ray | $47.86 | $56.23 | $109.65 |
Where Tennessee sits
The same service costs 4.2 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· 19th of 51
$100
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.