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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $239.88 | $245.47 | $398.11 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $275.42 | $354.81 | $794.33 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $52.48 | $85.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $323.59 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,000.00 | Facility | None | $575.44 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $229.09 | $426.58 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $25.12 | $46.77 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $380.19 Typical High $794.33 | Professional | TC · Technical part | $204.17 | $380.19 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,511.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | TC · Technical part | $2,089.30 | $2,089.30 | $2,238.72 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $416.87 | Facility | None | $134.90 | $134.90 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $190.55 | $371.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $38.90 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $213.80 | $346.74 | $691.83 |
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 $131.83 Median $134.90 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $79.43 | Professional | 53 · Discontinued | $52.48 | $53.70 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $316.23 | Professional | FX · Film X-ray | $213.80 | $213.80 | $316.23 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 13th of 51
$490
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.