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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $21.88 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $70.79 | $114.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $77.62 | $147.91 | $288.40 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $48.98 | $72.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $162.18 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $380.19 | Facility | None | $173.78 | $239.88 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $87.10 | $177.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $20.89 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $66.07 | $138.04 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $107.15 | $177.83 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $35.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $83.18 | $141.25 | $223.87 |
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 $45.71 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $18.62 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | FX · Film X-ray | $72.44 | $72.44 | $91.20 |
Where Tennessee sits
The same service costs 4.6 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· 19th of 51
$186
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.