How much rates vary
Facilitymedian $78 · 10th to 90th $71 to $151Professionalmedian $55 · 10th to 90th $37 to $437
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 $38.90 Median $38.90 Typical High $67.61 | Facility | None | $38.90 | $38.90 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $38.90 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $12.02 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $28.18 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $52.48 | $52.48 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $21.88 | $21.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $30.20 | $47.86 | $93.33 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $12.30 | $16.98 | $29.51 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $33.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $151.36 | Facility | None | $70.79 | $79.43 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $37.15 | $47.86 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $10.96 | $15.49 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $32.36 | $63.10 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $407.38 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $102.33 | $102.33 | $107.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $60.26 | Facility | None | $34.67 | $34.67 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $40.74 | $47.86 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $15.49 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $32.36 | $63.10 |
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 $19.50 Median $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $7.94 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | FX · Film X-ray | $30.90 | $30.90 | $36.31 |
Where Tennessee sits
The same service costs 4.1 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
$57.54
AK $132UT $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.