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 $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $245.47 | $251.19 | $407.38 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $281.84 | $354.81 | $812.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $50.12 | $81.28 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $489.78 Typical High $794.33 | Professional | TC · Technical part | $323.59 | $489.78 | $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 $213.80 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $213.80 | $436.52 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $45.71 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $158.49 | $398.11 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $138.04 | $380.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $38.02 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $346.74 | $707.95 |
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 $204.17 | Professional | 52 · Reduced service | $134.90 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $53.70 | $54.95 | $81.28 |
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 4.9 times more in Alaska 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
$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.