How much rates vary
Facilitymedian $52 · 10th to 90th $35 to $89Professionalmedian $35 · 10th to 90th $24 to $269
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 $25.12 Median $29.51 Typical High $43.65 | Facility | None | $25.12 | $29.51 | $43.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $29.51 Typical High $30.90 | Facility | TC · Technical part | $17.78 | $29.51 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $43.65 | Professional | None (both parts) | $25.12 | $26.30 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $13.18 | Professional | 26 · Professional part | $7.59 | $7.76 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $30.20 | Professional | TC · Technical part | $17.78 | $18.62 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $53.70 | Professional | None (both parts) | $33.88 | $41.69 | $53.70 |
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 Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $20.42 | $30.20 | $61.66 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $10.47 | $18.62 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $54.95 Typical High $97.72 | Facility | None | $47.86 | $54.95 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $23.99 | $28.84 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $9.77 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $43.65 | Professional | TC · Technical part | $16.60 | $19.50 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $204.17 | $204.17 | $269.15 |
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 $147.91 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $147.91 | $194.98 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $25.70 | $30.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $9.77 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $15.85 | $21.38 | $40.74 |
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 $12.59 Median $13.18 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $13.18 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.25 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.25 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | FX · Film X-ray | $20.42 | $20.42 | $23.44 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in New York. 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· 28th of 51
$36.31
AK $93.33NY $21.88
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.