How much rates vary
Facilitymedian $93 · 10th to 90th $66 to $162Professionalmedian $60 · 10th to 90th $41 to $457
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 $42.66 Median $57.54 Typical High $72.44 | Facility | None | $42.66 | $57.54 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $42.66 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $10.23 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $33.11 | $34.67 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $102.33 | Professional | None (both parts) | $36.31 | $52.48 | $102.33 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $15.14 | $25.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $40.74 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $162.18 | Facility | None | $83.18 | $93.33 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $102.33 | Professional | None (both parts) | $40.74 | $50.12 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $9.33 | $13.49 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $75.86 | Professional | TC · Technical part | $31.62 | $36.31 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $346.74 | $346.74 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $275.42 | $371.54 |
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 $44.67 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $44.67 | $52.48 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $13.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $32.36 | $39.81 | $75.86 |
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 $21.38 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $8.91 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | FX · Film X-ray | $33.88 | $33.88 | $40.74 |
Where Tennessee sits
The same service costs 4.5 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· 23rd of 51
$61.66
AK $148UT $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.