How much rates vary
Facilitymedian $54 · 10th to 90th $46 to $98Professionalmedian $37 · 10th to 90th $25 to $275
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 $25.70 Median $25.70 Typical High $45.71 | Facility | None | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $38.90 | Professional | None (both parts) | $25.70 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $11.75 | Professional | 26 · Professional part | $8.32 | $8.71 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $27.54 | Professional | TC · Technical part | $17.38 | $18.20 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $47.86 | Professional | None (both parts) | $23.99 | $23.99 | $47.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $19.95 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $19.95 | $32.36 | $61.66 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $11.75 | $21.38 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $22.91 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $97.72 | Facility | None | $46.77 | $53.70 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $24.55 | $33.88 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $10.72 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $22.91 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $208.93 | $208.93 | $275.42 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $28.84 | $33.88 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $10.72 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $22.91 | $40.74 |
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 $12.88 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $6.03 | Professional | 53 · Discontinued | $5.13 | $5.37 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $23.99 | Professional | FX · Film X-ray | $20.89 | $20.89 | $23.99 |
Where Tennessee sits
The same service costs 3.8 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· 23rd of 51
$38.90
AK $95.50FL $25.12
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.