How much rates vary
Facilitymedian $78 · 10th to 90th $65 to $151Professionalmedian $58 · 10th to 90th $36 to $380
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 $36.31 Median $61.66 Typical High $67.61 | Facility | None | $36.31 | $61.66 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $36.31 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $11.75 | $12.02 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $25.70 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $27.54 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $27.54 | $51.29 | $91.20 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $19.95 | $33.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $33.11 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $151.36 | Facility | None | $64.57 | $79.43 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $34.67 | $50.12 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $10.96 | $17.38 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $32.36 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $316.23 | $316.23 | $380.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $269.15 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Facility | None | $50.12 | $50.12 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $40.74 | $51.29 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $17.78 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $32.36 | $58.88 |
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 $18.20 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.24 | $7.41 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | FX · Film X-ray | $28.84 | $28.84 | $33.88 |
Where Tennessee sits
The same service costs 4.0 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· 20th of 51
$58.88
AK $132UT $33.11
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.