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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $281.84 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $41.69 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $239.88 | $251.19 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $53.70 | $53.70 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $275.42 | $371.54 | $851.14 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $81.28 | $128.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $316.23 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,000.00 | Facility | None | $575.44 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $257.04 | $457.09 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $72.44 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $208.93 | $389.05 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,630.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 26 · Professional part | $309.03 | $309.03 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $2,290.87 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $251.19 | $389.05 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $60.26 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $346.74 | $691.83 |
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 $141.25 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $141.25 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $56.23 | $57.54 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | FX · Film X-ray | $223.87 | $223.87 | $316.23 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 12th of 51
$525
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.