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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.13 | $9.55 |
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 Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $57.54 | $95.50 | $186.21 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $18.20 | $27.54 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $117.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $263.03 | Facility | None | $125.89 | $173.78 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $56.23 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $8.13 | $15.14 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $87.10 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $467.74 | $467.74 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
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 $67.61 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $67.61 | $104.71 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.18 Typical High $26.92 | Professional | 26 · Professional part | $9.77 | $13.18 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $91.20 | $162.18 |
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 $28.84 Median $29.51 Typical High $40.74 | Professional | 52 · Reduced service | $28.84 | $29.51 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $16.22 | Professional | 53 · Discontinued | $11.48 | $11.75 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | FX · Film X-ray | $45.71 | $45.71 | $64.57 |
Where Tennessee sits
The same service costs 7.2 times more in Alabama 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
$123
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.