How much rates vary
Facilitymedian $62 · 10th to 90th $50 to $148Professionalmedian $44 · 10th to 90th $28 to $309
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 $5.25 Median $28.18 Typical High $48.98 | Facility | None | $5.25 | $28.18 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $34.67 Typical High $35.48 | Facility | TC · Technical part | $20.89 | $34.67 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $29.51 Typical High $51.29 | Professional | None (both parts) | $28.18 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $7.76 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $21.88 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | None (both parts) | $26.30 | $26.30 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $10.47 | $15.14 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $24.55 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $24.55 | $39.81 | $72.44 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $8.32 | $13.80 | $23.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $27.54 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $151.36 | Facility | None | $56.23 | $66.07 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $27.54 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.30 Typical High $23.99 | Professional | 26 · Professional part | $7.08 | $12.30 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $25.70 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $229.09 | $229.09 | $309.03 |
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 $213.80 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $213.80 | $213.80 | $234.42 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $50.12 | Facility | None | $34.67 | $34.67 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $33.11 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $12.59 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $25.70 | $48.98 |
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 $14.13 Median $14.79 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | 53 · Discontinued | $5.75 | $5.89 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | FX · Film X-ray | $22.91 | $22.91 | $27.54 |
Where Tennessee sits
The same service costs 3.6 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· 22nd of 51
$45.71
AK $105FL $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.