How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $66.07 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $44.67 | $72.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $50.12 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $50.12 | $95.50 | $199.53 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $46.77 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $87.10 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $234.42 | Facility | None | $141.25 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $64.57 | $117.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $22.39 | $41.69 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $41.69 | $75.86 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $512.86 | $512.86 | $676.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $177.83 | $177.83 | $213.80 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | TC · Technical part | $338.84 | $338.84 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $77.62 | $107.15 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $34.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $72.44 | $131.83 |
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 $33.11 Median $34.67 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $13.80 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $53.70 | $53.70 | $57.54 |
Where Tennessee sits
The same service costs 4.6 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· 18th of 51
$115
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.