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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $177.83 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $162.18 | $257.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $537.03 | Professional | None (both parts) | $173.78 | $234.42 | $537.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $38.90 | $64.57 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $302.00 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $691.83 | Facility | None | $389.05 | $478.63 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $169.82 | $288.40 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $35.48 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $257.04 | $537.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,584.89 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $158.49 | $245.47 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $29.51 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $229.09 | $467.74 |
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 $89.13 Median $91.20 Typical High $128.82 | Professional | 52 · Reduced service | $89.13 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $51.29 | Professional | 53 · Discontinued | $35.48 | $36.31 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | FX · Film X-ray | $141.25 | $141.25 | $208.93 |
Where Tennessee sits
The same service costs 4.8 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· 15th of 51
$331
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.