How much rates vary
Facilitymedian $107 · 10th to 90th $81 to $182Professionalmedian $78 · 10th to 90th $49 to $537
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 $50.12 Median $51.29 Typical High $85.11 | Facility | None | $50.12 | $51.29 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $61.66 Typical High $64.57 | Facility | TC · Technical part | $37.15 | $61.66 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $50.12 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $13.18 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $38.90 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $45.71 | $74.13 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $16.98 | $23.99 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $43.65 | $69.18 | $125.89 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $13.80 | $20.42 | $33.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $37.15 | $56.23 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $186.21 | Facility | None | $97.72 | $125.89 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $46.77 | $66.07 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.78 Typical High $34.67 | Professional | 26 · Professional part | $11.48 | $17.78 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $35.48 | $47.86 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $398.11 | $398.11 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $309.03 | $416.87 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $54.95 | $69.18 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $18.62 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $47.86 | $91.20 |
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 $25.12 Median $25.70 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $25.70 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.23 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $10.23 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | FX · Film X-ray | $39.81 | $39.81 | $47.86 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 21st of 51
$79.43
AK $182TX $50.12
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.