How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,584.89 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,584.89 | $1,778.28 | $2,691.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,412.54 Median $2,187.76 Typical High $2,398.83 | Facility | TC · Technical part | $1,412.54 | $2,187.76 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,258.93 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $199.53 Typical High $371.54 | Professional | 26 · Professional part | $125.89 | $199.53 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,412.54 Typical High $2,187.76 | Professional | TC · Technical part | $1,122.02 | $1,412.54 | $2,187.76 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,445.44 Typical High $3,090.30 | Professional | None (both parts) | $1,023.29 | $1,445.44 | $3,090.30 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $87.10 | $125.89 | $204.17 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,819.70 Typical High $3,162.28 | Professional | TC · Technical part | $1,230.27 | $1,819.70 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $4,073.80 | Facility | None | $707.95 | $870.96 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $537.03 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $537.03 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $109.65 Typical High $223.87 | Professional | 26 · Professional part | $56.23 | $109.65 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $234.42 | $436.52 | $977.24 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $10,232.93 Typical High $10,232.93 | Professional | None (both parts) | $5,495.41 | $10,232.93 | $10,232.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $3,162.28 Typical High $3,162.28 | Professional | 26 · Professional part | $1,698.24 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $7,585.78 Typical High $7,585.78 | Professional | TC · Technical part | $4,897.79 | $7,585.78 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,698.24 Typical High $3,630.78 | Professional | None (both parts) | $1,174.90 | $1,698.24 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $95.50 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,621.81 Typical High $3,467.37 | Professional | TC · Technical part | $1,096.48 | $1,621.81 | $3,467.37 |
6 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 Facility Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,202.26 | Facility | 52 · Reduced service | $933.25 | $1,174.90 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $489.78 | Facility | 53 · Discontinued | $371.54 | $467.74 | $489.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,513.56 Median $1,862.09 Typical High $1,949.84 | Facility | FX · Film X-ray | $1,513.56 | $1,862.09 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $794.33 Typical High $1,096.48 | Professional | 52 · Reduced service | $660.69 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $323.59 Typical High $446.68 | Professional | 53 · Discontinued | $263.03 | $323.59 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,288.25 Median $1,288.25 Typical High $1,949.84 | Professional | FX · Film X-ray | $1,288.25 | $1,288.25 | $1,949.84 |
Where Tennessee sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 19th of 51
$1,585
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.