How much rates vary
Facilitymedian $324 · 10th to 90th $209 to $603Professionalmedian $240 · 10th to 90th $91 to $1,318
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 $275.42 Median $323.59 Typical High $794.33 | Facility | None | $275.42 | $323.59 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $416.87 | Facility | TC · Technical part | $218.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $131.83 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $218.78 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $95.50 | $120.23 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $30.20 | $43.65 | $67.61 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $74.13 | $144.54 | $288.40 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $51.29 | $89.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $60.26 | $97.72 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $389.05 | Facility | None | $158.49 | $288.40 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $79.43 | $141.25 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $47.86 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $89.13 Typical High $239.88 | Professional | TC · Technical part | $48.98 | $89.13 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $107.15 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $107.15 | $181.97 |
8 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 Facility Modifier 52 · Reduced service Typical Low $158.49 Median $190.55 Typical High $208.93 | Facility | 52 · Reduced service | $158.49 | $190.55 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $83.18 | Facility | 53 · Discontinued | $63.10 | $75.86 | $83.18 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $269.15 Median $323.59 Typical High $354.81 | Facility | CT · Older CT scanner | $269.15 | $323.59 | $354.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $331.13 | Facility | FX · Film X-ray | $257.04 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $61.66 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $24.55 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $102.33 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $95.50 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 20.4 times more in Vermont 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· 9th of 51
$240
VT $1,585UT $77.62
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.