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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $26.92 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $158.49 | $257.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $169.82 | $234.42 | $549.54 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $54.95 | $89.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $194.98 | $302.00 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $660.69 | Facility | None | $380.19 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $630.96 | Professional | None (both parts) | $162.18 | $295.12 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $26.92 | $48.98 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $138.04 | $251.19 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,778.28 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $141.25 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $40.74 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $223.87 | $457.09 |
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 $91.20 Median $93.33 Typical High $128.82 | Professional | 52 · Reduced service | $91.20 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $36.31 | $38.02 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $204.17 | Professional | FX · Film X-ray | $144.54 | $144.54 | $204.17 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 12th of 51
$339
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.