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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $37.15 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $128.82 | $131.83 | $213.80 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $112.20 | $229.09 | $501.19 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $74.13 | $120.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $257.04 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $562.34 | Facility | None | $316.23 | $398.11 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $158.49 | $275.42 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $36.31 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $213.80 | $436.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $190.55 | $229.09 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $53.70 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $186.21 | $380.19 |
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 $83.18 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $83.18 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $33.11 | $33.88 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | FX · Film X-ray | $131.83 | $131.83 | $169.82 |
Where Tennessee sits
The same service costs 5.0 times more in Alaska 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· 13th of 51
$316
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.