How much rates vary
Facilitymedian $66 · 10th to 90th $37 to $141Professionalmedian $45 · 10th to 90th $31 to $347
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 $31.62 Median $37.15 Typical High $54.95 | Facility | None | $31.62 | $37.15 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $38.90 | Facility | TC · Technical part | $22.39 | $33.88 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $31.62 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $9.77 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $23.99 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $26.92 | $38.02 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $11.75 | $18.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $22.39 | $40.74 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $26.92 | $41.69 | $77.62 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $10.00 | $13.80 | $23.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $29.51 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $151.36 | Facility | None | $60.26 | $66.07 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $30.90 | $39.81 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $8.71 | $12.30 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $27.54 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $257.04 | $257.04 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $85.11 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $208.93 | $263.03 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $34.67 | $39.81 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $26.92 | $52.48 |
4 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 $15.85 Median $16.60 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $6.61 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | FX · Film X-ray | $25.70 | $25.70 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $25.12 Median $26.92 Typical High $29.51 | Professional | 59 · Distinct service | $25.12 | $26.92 | $29.51 |
Where Tennessee sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 27th of 51
$44.67
VT $389FL $30.90
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.