How much rates vary
Facilitymedian $851 · 10th to 90th $457 to $1,585Professionalmedian $537 · 10th to 90th $240 to $3,631
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 $758.58 Typical High $1,584.89 | Facility | None | $512.86 | $758.58 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $537.03 Typical High $549.54 | Facility | TC · Technical part | $467.74 | $537.03 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $524.81 | Professional | None (both parts) | $371.54 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $109.65 | $134.90 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $323.59 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $223.87 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $223.87 | $389.05 | $812.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $112.20 | $190.55 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $302.00 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $1,258.93 | Facility | None | $446.68 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $204.17 | $380.19 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $102.33 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $676.08 | Professional | TC · Technical part | $141.25 | $257.04 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,548.13 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 26 · Professional part | $660.69 | $660.69 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $295.12 | $478.63 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $102.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $204.17 | $338.84 | $537.03 |
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 $234.42 Median $269.15 Typical High $275.42 | Facility | 52 · Reduced service | $234.42 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $93.33 | $109.65 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $380.19 Median $436.52 Typical High $446.68 | Facility | FX · Film X-ray | $380.19 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $91.20 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $371.54 Typical High $407.38 | Professional | FX · Film X-ray | $331.13 | $371.54 | $407.38 |
Where Tennessee sits
The same service costs 5.9 times more in Wyoming 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· 17th of 51
$537
WY $1,122UT $191
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.