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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $32.36 | $32.36 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $128.82 | $208.93 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $144.54 | $239.88 | $478.63 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $64.57 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $251.19 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $562.34 | Facility | None | $302.00 | $407.38 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $147.91 | $263.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $117.49 | $208.93 | $416.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | TC · Technical part | $977.24 | $977.24 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $173.78 | $257.04 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $47.86 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $204.17 | $371.54 |
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 $79.43 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $32.36 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | FX · Film X-ray | $125.89 | $125.89 | $165.96 |
Where Tennessee sits
The same service costs 4.7 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· 14th of 51
$302
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.