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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $186.21 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $47.86 | $56.23 |
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 Tennessee Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $154.88 | $275.42 | $562.34 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $97.72 | $158.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $275.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $616.60 | Facility | None | $331.13 | $446.68 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $173.78 | $331.13 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $46.77 | $87.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $125.89 | $245.47 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,089.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $213.80 | $323.59 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $72.44 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $257.04 | $416.87 |
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 $93.33 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | FX · Film X-ray | $147.91 | $147.91 | $181.97 |
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· 19th of 51
$331
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.