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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | 26 · Professional part | $6.76 | $6.76 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $48.98 | $51.29 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $57.54 | $91.20 | $177.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $15.14 | $22.91 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $263.03 | Facility | None | $125.89 | $177.83 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $52.48 | $95.50 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $12.59 Typical High $23.99 | Professional | 26 · Professional part | $6.61 | $12.59 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $83.18 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $446.68 | $446.68 | $616.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $407.38 | $407.38 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $48.98 | $97.72 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $91.20 | $154.88 |
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 $28.18 Median $28.84 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $28.84 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.48 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $11.48 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | FX · Film X-ray | $44.67 | $44.67 | $64.57 |
Where Tennessee sits
The same service costs 8.1 times more in Alabama 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· 12th of 51
$120
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.