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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $478.63 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $380.19 | Professional | 26 · Professional part | $275.42 | $302.00 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $223.87 | $407.38 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $190.55 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $190.55 | $602.56 | $1,202.26 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $436.52 Typical High $776.25 | Professional | 26 · Professional part | $302.00 | $436.52 | $776.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $302.00 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,096.48 | Facility | None | $512.86 | $794.33 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $489.78 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $416.87 Typical High $758.58 | Professional | 26 · Professional part | $288.40 | $416.87 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $281.84 | $588.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $4,786.30 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,511.89 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $1,412.54 | Professional | None (both parts) | $467.74 | $616.60 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $354.81 Typical High $776.25 | Professional | 26 · Professional part | $288.40 | $354.81 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $144.54 | $251.19 | $616.60 |
4 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 $229.09 Median $263.03 Typical High $331.13 | Professional | 52 · Reduced service | $229.09 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $467.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $398.11 Typical High $416.87 | Professional | FX · Film X-ray | $354.81 | $398.11 | $416.87 |
Where Tennessee sits
The same service costs 5.6 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· 21st of 51
$708
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.