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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $17.78 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $128.82 | $134.90 | $213.80 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $147.91 | $194.98 | $446.68 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $36.31 | $58.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $257.04 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $562.34 | Facility | None | $309.03 | $407.38 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $134.90 | $239.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $17.38 | $32.36 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $117.49 | $208.93 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $134.90 | $204.17 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $26.92 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $117.49 | $190.55 | $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 $74.13 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $30.20 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | FX · Film X-ray | $117.49 | $117.49 | $169.82 |
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· 12th of 51
$282
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.