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 $151.36 Median $151.36 Typical High $263.03 | Facility | None | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $151.36 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $123.03 | $194.98 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $131.83 | $213.80 | $446.68 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $63.10 | $102.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $229.09 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $524.81 | Facility | None | $288.40 | $389.05 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $141.25 | $245.47 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $30.90 | $56.23 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $104.71 | $194.98 | $398.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Professional | TC · Technical part | $933.25 | $933.25 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $138.04 | $218.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $46.77 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $120.23 | $173.78 | $346.74 |
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 $74.13 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $30.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | FX · Film X-ray | $120.23 | $120.23 | $154.88 |
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
$282
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.