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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $102.33 | $102.33 | $120.23 |
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 $79.43 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $83.18 | $131.83 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $93.33 | $169.82 | $323.59 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $47.86 | $72.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $269.15 | Professional | TC · Technical part | $138.04 | $204.17 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $436.52 | Facility | None | $204.17 | $281.84 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $100.00 | $213.80 | $380.19 |
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 $77.62 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $77.62 | $173.78 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $120.23 | $218.78 | $331.13 |
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 $95.50 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $177.83 | $269.15 |
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 $51.29 Median $52.48 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $20.89 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $81.28 | $104.71 |
Where Tennessee sits
The same service costs 5.2 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· 18th of 51
$224
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.