How much rates vary
Facilitymedian $102 · 10th to 90th $85 to $331Professionalmedian $65 · 10th to 90th $47 to $525
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 $47.86 Median $47.86 Typical High $48.98 | Facility | None | $47.86 | $47.86 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $33.11 | $34.67 | $42.66 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $114.82 | Professional | None (both parts) | $39.81 | $54.95 | $114.82 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $15.49 | $20.89 | $37.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $81.28 | Professional | TC · Technical part | $29.51 | $38.02 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $331.13 | Facility | None | $89.13 | $102.33 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $45.71 | $53.70 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $13.80 | $19.05 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $29.51 | $36.31 | $77.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $398.11 | $398.11 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $123.03 | $123.03 | $138.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $288.40 | $389.05 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $45.71 | $57.54 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $36.31 | Professional | 26 · Professional part | $16.22 | $19.05 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $28.18 | $38.02 | $77.62 |
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 $23.99 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $23.99 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $10.00 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | FX · Film X-ray | $38.02 | $38.02 | $44.67 |
Where Tennessee sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 24th of 51
$67.61
AK $182UT $32.36
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.