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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $186.21 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $38.02 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $154.88 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $169.82 | $257.04 | $562.34 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $77.62 | $125.89 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $295.12 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $645.65 | Facility | None | $363.08 | $489.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $173.78 | $316.23 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $37.15 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $245.47 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $213.80 | $281.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $57.54 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $229.09 | $436.52 |
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 $93.33 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $93.33 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $37.15 | $38.02 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | FX · Film X-ray | $147.91 | $147.91 | $194.98 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 14th of 51
$355
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.