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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $199.53 | $204.17 | $331.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $223.87 | $331.13 | $691.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $58.88 | $93.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $398.11 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $851.14 | Facility | None | $467.74 | $630.96 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $194.98 | $363.08 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $28.18 | $52.48 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $165.96 | $309.03 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $186.21 | $331.13 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $295.12 | $562.34 |
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 $114.82 Median $117.49 Typical High $162.18 | Professional | 52 · Reduced service | $114.82 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $46.77 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | FX · Film X-ray | $181.97 | $181.97 | $263.03 |
Where Tennessee sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$437
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.