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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $194.98 | $316.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $676.08 | Professional | None (both parts) | $173.78 | $257.04 | $676.08 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $67.61 | $109.65 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $616.60 | Professional | TC · Technical part | $208.93 | $323.59 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $794.33 | Facility | None | $446.68 | $501.19 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $190.55 | $338.84 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $33.11 | $60.26 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $281.84 | $630.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,089.30 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,089.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $181.97 | $309.03 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $51.29 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $263.03 | $537.03 |
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 $112.20 Median $114.82 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $45.71 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | FX · Film X-ray | $177.83 | $177.83 | $251.19 |
Where Tennessee sits
The same service costs 5.0 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· 16th of 51
$380
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.