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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $234.42 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $58.88 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $173.78 | $181.97 | $288.40 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $199.53 | $354.81 | $707.95 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $117.49 | $190.55 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $363.08 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $776.25 | Facility | None | $416.87 | $562.34 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $218.78 | $426.58 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $57.54 | $107.15 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $316.23 | $575.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $2,290.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 26 · Professional part | $933.25 | $933.25 | $933.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | TC · Technical part | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $275.42 | $398.11 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $89.13 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $302.00 | $524.81 |
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 $117.49 Median $120.23 Typical High $144.54 | Professional | 52 · Reduced service | $117.49 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $57.54 | Professional | 53 · Discontinued | $46.77 | $47.86 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | FX · Film X-ray | $186.21 | $186.21 | $229.09 |
Where Tennessee sits
The same service costs 5.1 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· 16th of 51
$447
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.