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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $19.95 | $19.95 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $141.25 | $223.87 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $154.88 | $208.93 | $467.74 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $39.81 | $64.57 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $181.97 | $275.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $602.56 | Facility | None | $331.13 | $426.58 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $147.91 | $257.04 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $35.48 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $123.03 | $223.87 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,348.96 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $275.42 | Facility | None | $109.65 | $109.65 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $144.54 | $218.78 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $29.51 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $199.53 | $407.38 |
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 $77.62 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $45.71 | Professional | 53 · Discontinued | $31.62 | $32.36 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | FX · Film X-ray | $125.89 | $125.89 | $181.97 |
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· 15th of 51
$295
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.