How much rates vary
Facilitymedian $91 · 10th to 90th $59 to $162Professionalmedian $59 · 10th to 90th $41 to $479
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 $48.98 Typical High $74.13 | Facility | None | $42.66 | $48.98 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $53.70 | Facility | TC · Technical part | $30.90 | $51.29 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $42.66 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $12.02 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $33.11 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $34.67 | $42.66 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $12.30 | $22.39 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $30.20 | $57.54 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $34.67 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $34.67 | $54.95 | $100.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $12.59 | $18.62 | $31.62 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $38.90 | $74.13 |
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 $41.69 Median $53.70 Typical High $102.33 | Professional | None (both parts) | $41.69 | $53.70 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $16.22 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $37.15 | $72.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $45.71 | $52.48 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $16.22 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $37.15 | $70.79 |
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 $8.71 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $8.71 | $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 4.8 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· 26th of 51
$60.26
AK $158UT $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.