How much rates vary
Facilitymedian $26 · 10th to 90th $17 to $81Professionalmedian $26 · 10th to 90th $15 to $209
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 $1.58 Median $15.14 Typical High $42.66 | Facility | None | $1.58 | $15.14 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.85 Typical High $23.44 | Professional | None (both parts) | $15.14 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $8.71 | $8.91 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $6.61 Typical High $11.75 | Professional | TC · Technical part | $6.31 | $6.61 | $11.75 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $8.91 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $8.91 | $22.91 | $39.81 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $9.55 | $13.18 | $22.39 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $10.96 Typical High $18.62 | Professional | TC · Technical part | $7.08 | $10.96 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $25.70 Typical High $83.18 | Facility | None | $16.98 | $25.70 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $21.88 Typical High $48.98 | Professional | None (both parts) | $14.45 | $21.88 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $7.76 | $11.48 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $9.77 Typical High $25.70 | Professional | TC · Technical part | $6.46 | $9.77 | $25.70 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $186.21 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.44 Typical High $40.74 | Professional | None (both parts) | $17.78 | $23.44 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.47 Typical High $21.88 | Professional | TC · Technical part | $7.59 | $10.47 | $21.88 |
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 $7.59 Median $7.59 Typical High $8.91 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.55 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | FX · Film X-ray | $12.02 | $12.02 | $13.80 |
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· 23rd of 51
$26.30
AK $56.23FL $15.49
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.