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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $21.88 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $199.53 | $208.93 | $331.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $234.42 | $354.81 | $707.95 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $47.86 | $72.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $446.68 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $977.24 | Facility | None | $478.63 | $645.65 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $199.53 | $354.81 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $20.89 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $177.83 | $316.23 | $660.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $1,949.84 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $218.78 | $363.08 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $35.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $331.13 | $562.34 |
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 $112.20 Median $114.82 Typical High $165.96 | Professional | 52 · Reduced service | $112.20 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $66.07 | Professional | 53 · Discontinued | $44.67 | $45.71 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $263.03 | Professional | FX · Film X-ray | $177.83 | $177.83 | $263.03 |
Where Tennessee sits
The same service costs 4.3 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· 11th of 51
$457
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.