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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $14.13 | $14.13 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $123.03 | $125.89 | $204.17 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $141.25 | $218.78 | $446.68 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $31.62 | $47.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $537.03 | Facility | None | $295.12 | $398.11 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $123.03 | $218.78 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $13.80 | $26.30 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $104.71 | $194.98 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $117.49 | $229.09 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $16.98 | $23.44 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $131.83 | $208.93 | $354.81 |
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 $69.18 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | FX · Film X-ray | $109.65 | $109.65 | $162.18 |
Where Tennessee sits
The same service costs 4.5 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· 12th of 51
$282
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.