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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $162.18 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $147.91 | $234.42 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $489.78 | Professional | None (both parts) | $134.90 | $190.55 | $489.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $39.81 | $67.61 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $251.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $562.34 | Facility | None | $338.84 | $407.38 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $144.54 | $251.19 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $20.42 | $35.48 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $489.78 | Professional | TC · Technical part | $114.82 | $218.78 | $489.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $102.33 | $218.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $30.90 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $190.55 | $416.87 |
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 $81.28 Median $85.11 Typical High $117.49 | Professional | 52 · Reduced service | $81.28 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $33.88 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | FX · Film X-ray | $131.83 | $131.83 | $190.55 |
Where Tennessee sits
The same service costs 5.5 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· 13th 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.