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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $138.04 | $141.25 | $223.87 |
BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $154.88 | $295.12 | $588.84 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $120.23 | $194.98 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $288.40 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $660.69 | Facility | None | $323.59 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $181.97 | $354.81 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $58.88 | $107.15 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $123.03 | $251.19 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,691.53 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $229.09 | $363.08 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $91.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $263.03 | $407.38 |
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 $97.72 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $38.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | FX · Film X-ray | $158.49 | $158.49 | $181.97 |
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· 23rd of 51
$363
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.