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 $128.82 Median $165.96 Typical High $204.17 | Facility | None | $128.82 | $165.96 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $173.78 | Professional | None | $97.72 | $104.71 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $52.48 Typical High $93.33 | Professional | 52 · Reduced service | $50.12 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $37.15 | Professional | 53 · Discontinued | $19.95 | $20.89 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
BCBS Tennessee Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $269.15 | Professional | None | $102.33 | $151.36 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $416.87 | Facility | None | $204.17 | $281.84 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $263.03 | Professional | None | $100.00 | $141.25 | $263.03 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
United Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $275.42 | Professional | None | $100.00 | $123.03 | $275.42 |
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 $72.44 Median $83.18 Typical High $165.96 | Professional | FX · Film X-ray | $72.44 | $83.18 | $165.96 |
Where Tennessee sits
The same service costs 4.4 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· 14th of 51
$158
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.