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 $123.03 Median $128.82 Typical High $151.36 | Facility | None | $123.03 | $128.82 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $97.72 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $36.31 | $39.81 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $89.13 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $38.02 | $53.70 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $8.32 Median $100.00 Typical High $269.15 | Professional | None (both parts) | $8.32 | $100.00 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $56.23 | $102.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $87.10 Typical High $229.09 | Professional | TC · Technical part | $22.91 | $87.10 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $281.84 Typical High $380.19 | Facility | None | $33.11 | $281.84 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $95.50 | $147.91 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $57.54 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $91.20 Typical High $223.87 | Professional | TC · Technical part | $16.98 | $91.20 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $891.25 | $891.25 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | TC · Technical part | $645.65 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Facility | None | $87.10 | $87.10 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $338.84 | Professional | None (both parts) | $69.18 | $123.03 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $47.86 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $75.86 Typical High $239.88 | Professional | TC · Technical part | $13.49 | $75.86 | $239.88 |
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 $56.23 Median $64.57 Typical High $87.10 | Professional | 52 · Reduced service | $56.23 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $34.67 | Professional | 53 · Discontinued | $22.91 | $25.70 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $102.33 Typical High $138.04 | Professional | FX · Film X-ray | $91.20 | $102.33 | $138.04 |
Where Tennessee sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 30th of 51
$148
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.