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 $125.89 Median $131.83 Typical High $691.83 | Facility | None | $125.89 | $131.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $125.89 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $114.82 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $26.92 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $147.91 | $234.42 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $104.71 | $204.17 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $41.69 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $41.69 | $173.78 | $338.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $154.88 | $275.42 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $56.23 Typical High $138.04 | Professional | TC · Technical part | $31.62 | $56.23 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $524.81 | Facility | None | $79.43 | $131.83 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $131.83 | $208.93 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $100.00 | $151.36 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $426.58 | Professional | TC · Technical part | $28.84 | $44.67 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,090.30 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $891.25 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $128.82 | $213.80 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $275.42 | Professional | 26 · Professional part | $102.33 | $125.89 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $58.88 Typical High $426.58 | Professional | TC · Technical part | $23.99 | $58.88 | $426.58 |
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 $50.12 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $19.95 | $26.30 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $38.02 | $100.00 | $104.71 |
Where Tennessee sits
The same service costs 5.1 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· 27th of 51
$214
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.