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 $263.03 Median $275.42 Typical High $457.09 | Facility | None | $263.03 | $275.42 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $398.11 | Facility | TC · Technical part | $234.42 | $389.05 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $263.03 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $33.11 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $245.47 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $229.09 | $354.81 | $794.33 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $64.57 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $467.74 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $977.24 | Facility | None | $562.34 | $660.69 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $229.09 | $426.58 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $56.23 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $371.54 | $776.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,511.89 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,511.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 26 · Professional part | $275.42 | $275.42 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $2,238.72 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $208.93 | $371.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $47.86 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $331.13 | $676.08 |
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 $131.83 Median $134.90 Typical High $194.98 | Professional | 52 · Reduced service | $131.83 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $54.95 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | FX · Film X-ray | $213.80 | $213.80 | $309.03 |
Where Tennessee sits
The same service costs 3.5 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
$468
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.