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 $223.87 | Professional | None (both parts) | $177.83 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $158.49 | $257.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $177.83 | $245.47 | $537.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $45.71 | $74.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $208.93 | $309.03 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $741.31 | Facility | None | $371.54 | $489.78 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $162.18 | $281.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $22.39 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $131.83 | $245.47 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $117.49 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $26.30 | $33.88 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $218.78 | $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 $89.13 Typical High $125.89 | Professional | 52 · Reduced service | $89.13 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | 53 · Discontinued | $35.48 | $35.48 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | FX · Film X-ray | $141.25 | $141.25 | $204.17 |
Where Tennessee sits
The same service costs 4.8 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· 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.