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 $169.82 Median $169.82 Typical High $204.17 | Facility | None | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $169.82 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $141.25 | $144.54 | $234.42 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $158.49 | $234.42 | $512.86 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $58.88 | $95.50 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $281.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $602.56 | Facility | None | $346.74 | $457.09 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $158.49 | $281.84 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $28.84 | $51.29 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $229.09 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,380.38 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $158.49 | $239.88 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $44.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $204.17 | $416.87 |
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 $85.11 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $46.77 | Professional | 53 · Discontinued | $33.88 | $35.48 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | FX · Film X-ray | $134.90 | $134.90 | $186.21 |
Where Tennessee sits
The same service costs 4.6 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· 12th of 51
$324
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.