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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $239.88 | $251.19 | $398.11 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $281.84 | $363.08 | $812.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $56.23 | $89.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $331.13 | $478.63 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,023.29 | Facility | None | $588.84 | $776.25 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $251.19 | $436.52 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $26.92 | $48.98 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $812.83 | Professional | TC · Technical part | $213.80 | $389.05 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,290.87 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $239.88 | $380.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $41.69 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $223.87 | $354.81 | $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 $134.90 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $134.90 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $79.43 | Professional | 53 · Discontinued | $53.70 | $54.95 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | FX · Film X-ray | $213.80 | $213.80 | $323.59 |
Where Tennessee sits
The same service costs 4.4 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· 11th of 51
$513
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.