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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $15.14 | $15.14 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $77.62 | $123.03 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $83.18 | $117.49 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $30.20 | $50.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $93.33 | $141.25 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $316.23 | Facility | None | $199.53 | $234.42 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $77.62 | $147.91 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $14.45 | $26.92 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $64.57 | $120.23 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $87.10 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $22.39 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $104.71 | $199.53 |
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 $44.67 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $18.62 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | FX · Film X-ray | $72.44 | $72.44 | $100.00 |
Where Tennessee sits
The same service costs 5.5 times more in Alabama 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· 17th of 51
$155
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.