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 $204.17 Median $204.17 Typical High $363.08 | Facility | None | $204.17 | $204.17 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $204.17 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $26.30 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $177.83 | $295.12 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $144.54 | $234.42 | $616.60 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $52.48 | $85.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $199.53 | $354.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $776.25 | Facility | None | $407.38 | $467.74 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $676.08 | Professional | None (both parts) | $177.83 | $269.15 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $25.70 | $47.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $588.84 | Professional | TC · Technical part | $151.36 | $229.09 | $588.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,995.26 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,995.26 |
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 $1,348.96 Median $1,348.96 Typical High $1,737.80 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $162.18 | $269.15 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $39.81 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $234.42 | $512.86 |
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 $102.33 Median $102.33 Typical High $147.91 | Professional | 52 · Reduced service | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | 53 · Discontinued | $40.74 | $40.74 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | FX · Film X-ray | $162.18 | $162.18 | $234.42 |
Where Tennessee sits
The same service costs 5.2 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· 17th of 51
$339
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.