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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $16.60 | $16.60 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $69.18 | $112.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $72.44 | $117.49 | $251.19 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $33.88 | $53.70 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $134.90 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $346.74 | Facility | None | $169.82 | $213.80 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $81.28 | $144.54 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $16.22 | $30.20 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $114.82 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $114.82 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $97.72 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $19.05 | $26.92 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $77.62 | $120.23 | $218.78 |
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 $41.69 Median $43.65 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $17.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | FX · Film X-ray | $67.61 | $67.61 | $89.13 |
Where Tennessee sits
The same service costs 5.0 times more in Alabama than in New York. 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· 17th of 51
$170
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.