How much rates vary
Facilitymedian $78 · 10th to 90th $68 to $151Professionalmedian $52 · 10th to 90th $35 to $380
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $35.48 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.47 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $25.70 | $26.92 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $32.36 | $52.48 | $52.48 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $30.90 | $46.77 | $87.10 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $13.49 | $25.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $35.48 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $151.36 | Facility | None | $67.61 | $83.18 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $34.67 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $24.55 | Professional | 26 · Professional part | $9.55 | $12.59 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $33.88 | $63.10 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $288.40 | $288.40 | $380.19 |
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 $269.15 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $269.15 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $39.81 | $46.77 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $25.12 | Professional | 26 · Professional part | $10.72 | $12.59 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $33.88 | $60.26 |
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 $17.78 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.41 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | FX · Film X-ray | $28.84 | $28.84 | $33.88 |
Where Tennessee sits
The same service costs 3.9 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
$53.70
AK $129UT $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.