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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $144.54 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $117.49 | $186.21 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $141.25 | $213.80 | $436.52 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $61.66 | $102.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $162.18 | $223.87 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $512.86 | Facility | None | $251.19 | $346.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $125.89 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $29.51 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $95.50 | $165.96 | $346.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,445.44 |
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 $870.96 Median $870.96 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $147.91 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $177.83 | $302.00 |
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 $72.44 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $29.51 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | FX · Film X-ray | $114.82 | $114.82 | $147.91 |
Where Tennessee sits
The same service costs 4.8 times more in Alabama than in Texas. 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
$257
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.