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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $138.04 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $12.02 | $12.02 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $131.83 | $208.93 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $144.54 | $194.98 | $416.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $24.55 | $38.90 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $251.19 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $416.87 Typical High $549.54 | Facility | None | $309.03 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $123.03 | $229.09 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $11.75 | $22.39 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $100.00 | $208.93 | $436.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | TC · Technical part | $977.24 | $977.24 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $81.28 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $14.13 | $18.62 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $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 $69.18 Median $72.44 Typical High $104.71 | Professional | 52 · Reduced service | $69.18 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $28.84 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | FX · Film X-ray | $112.20 | $112.20 | $169.82 |
Where Tennessee sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$269
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.