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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $151.36 | $245.47 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $162.18 | $223.87 | $501.19 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $39.81 | $66.07 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $645.65 | Facility | None | $354.81 | $467.74 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $151.36 | $269.15 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $19.95 | $35.48 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $489.78 | Professional | TC · Technical part | $128.82 | $234.42 | $489.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $144.54 | $229.09 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $30.20 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $213.80 | $436.52 |
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 $83.18 Median $87.10 Typical High $123.03 | Professional | 52 · Reduced service | $83.18 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $48.98 | Professional | 53 · Discontinued | $33.88 | $34.67 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | FX · Film X-ray | $134.90 | $134.90 | $194.98 |
Where Tennessee sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 14th of 51
$309
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.