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 $181.97 Median $190.55 Typical High $323.59 | Facility | None | $181.97 | $190.55 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $181.97 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $40.74 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $151.36 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $165.96 | $275.42 | $549.54 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $79.43 | $128.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $630.96 | Facility | None | $346.74 | $467.74 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $169.82 | $323.59 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $38.90 | $70.79 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $251.19 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $213.80 | $295.12 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $60.26 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $234.42 | $436.52 |
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 $91.20 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $91.20 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $36.31 | $38.02 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | FX · Film X-ray | $147.91 | $147.91 | $190.55 |
Where Tennessee sits
The same service costs 3.5 times more in Wisconsin 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
$347
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.