How much rates vary
Facilitymedian $776 · 10th to 90th $501 to $1,585Professionalmedian $589 · 10th to 90th $282 to $6,310
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $512.86 Median $645.65 Typical High $1,584.89 | Facility | None | $512.86 | $645.65 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $537.03 Typical High $602.56 | Facility | TC · Technical part | $354.81 | $537.03 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $758.58 | Professional | None (both parts) | $407.38 | $524.81 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $173.78 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $354.81 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $323.59 | $380.19 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $117.49 | $181.97 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $234.42 | $457.09 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $251.19 | $457.09 | $954.99 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $141.25 | $239.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $776.25 | Professional | TC · Technical part | $213.80 | $338.84 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,412.54 | Facility | None | $501.19 | $1,047.13 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $1,258.93 | Professional | None (both parts) | $239.88 | $436.52 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $128.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $288.40 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $288.40 | $1,096.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $1,122.02 | Professional | None (both parts) | $338.84 | $575.44 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $107.15 | $128.82 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $912.01 | Professional | TC · Technical part | $229.09 | $380.19 | $912.01 |
6 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 $263.03 Median $275.42 Typical High $302.00 | Facility | 52 · Reduced service | $263.03 | $275.42 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $120.23 | Facility | 53 · Discontinued | $107.15 | $109.65 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $416.87 Median $446.68 Typical High $478.63 | Facility | FX · Film X-ray | $416.87 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $104.71 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $426.58 | $426.58 |
Where Tennessee sits
The same service costs 6.6 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· 22nd of 51
$589
VT $1,349UT $204
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.