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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $251.19 | $263.03 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $33.11 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $229.09 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $257.04 | $346.74 | $758.58 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $66.07 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $295.12 | $426.58 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $707.95 Typical High $954.99 | Facility | None | $524.81 | $707.95 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $229.09 | $426.58 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $61.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $194.98 | $346.74 | $724.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $251.19 | $371.54 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $50.12 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $323.59 | $616.60 |
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 $125.89 Median $128.82 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $51.29 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | FX · Film X-ray | $199.53 | $199.53 | $288.40 |
Where Tennessee sits
The same service costs 3.7 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· 13th of 51
$479
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.