How much rates vary
Facilitymedian $68 · 10th to 90th $46 to $112Professionalmedian $42 · 10th to 90th $29 to $324
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 $30.20 Median $30.20 Typical High $45.71 | Facility | None | $30.20 | $30.20 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $38.02 Typical High $38.90 | Facility | TC · Technical part | $22.91 | $38.02 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $30.20 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $7.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $38.90 | Professional | TC · Technical part | $22.91 | $23.99 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $23.44 | $28.84 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $6.46 | $7.94 | $14.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $24.55 | $36.31 | $70.79 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.47 | $18.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $20.89 | $26.92 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $117.49 | Facility | None | $60.26 | $67.61 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $28.84 | $33.88 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $6.46 | $9.55 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $52.48 | Professional | TC · Technical part | $20.42 | $24.55 | $52.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $190.55 | $257.04 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $50.12 | Facility | None | $25.12 | $25.12 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $28.84 | $37.15 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $9.55 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $19.95 | $26.92 | $52.48 |
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 $15.14 Median $15.85 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.31 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | FX · Film X-ray | $24.55 | $24.55 | $28.84 |
Where Tennessee sits
The same service costs 3.9 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· 24th of 51
$42.66
AK $112FL $28.84
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.