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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,047.13 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $97.72 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $1,548.82 | Professional | TC · Technical part | $912.01 | $954.99 | $1,548.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,122.02 Typical High $2,290.87 | Professional | None (both parts) | $794.33 | $1,122.02 | $2,290.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $97.72 | $138.04 | $251.19 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $2,454.71 | Professional | TC · Technical part | $891.25 | $1,288.25 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,818.38 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,258.93 Typical High $2,454.71 | Professional | None (both parts) | $489.78 | $1,258.93 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $239.88 | Professional | 26 · Professional part | $91.20 | $141.25 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,148.15 Typical High $2,238.72 | Professional | TC · Technical part | $691.83 | $1,148.15 | $2,238.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,918.31 Median $6,918.31 Typical High $9,332.54 | Professional | None (both parts) | $6,918.31 | $6,918.31 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,309.57 Median $6,309.57 Typical High $8,511.38 | Professional | TC · Technical part | $6,309.57 | $6,309.57 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,148.15 Typical High $2,630.27 | Professional | None (both parts) | $281.84 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $117.49 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $1,047.13 Typical High $2,398.83 | Professional | TC · Technical part | $162.18 | $1,047.13 | $2,398.83 |
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 $501.19 Median $524.81 Typical High $870.96 | Professional | 52 · Reduced service | $501.19 | $524.81 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $346.74 | Professional | 53 · Discontinued | $199.53 | $208.93 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $851.14 Typical High $1,513.56 | Professional | FX · Film X-ray | $758.58 | $851.14 | $1,513.56 |
Where Tennessee sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 16th of 51
$1,413
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.