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 $426.58 Median $467.74 Typical High $831.76 | Facility | None | $426.58 | $467.74 | $831.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $616.60 Typical High $758.58 | Facility | TC · Technical part | $371.54 | $616.60 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $446.68 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $89.13 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $371.54 | $426.58 | $645.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $346.74 | $912.01 | $912.01 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $85.11 | $151.36 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,148.15 | Professional | None (both parts) | $380.19 | $562.34 | $1,148.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $117.49 | $208.93 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $575.44 Typical High $1,000.00 | Professional | TC · Technical part | $407.38 | $575.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,513.56 | Facility | None | $741.31 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $112.20 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $316.23 | $501.19 | $912.01 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 26 · Professional part | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $309.03 | Facility | None | $302.00 | $302.00 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $346.74 | $549.54 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $213.80 | Professional | 26 · Professional part | $79.43 | $97.72 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $467.74 | $891.25 |
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 $223.87 Median $234.42 Typical High $363.08 | Professional | 52 · Reduced service | $223.87 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $144.54 | Professional | 53 · Discontinued | $89.13 | $93.33 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $380.19 Typical High $616.60 | Professional | FX · Film X-ray | $338.84 | $380.19 | $616.60 |
Where Tennessee sits
The same service costs 4.6 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· 19th of 51
$617
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.