How much rates vary
Facilitymedian $513 · 10th to 90th $288 to $1,585Professionalmedian $398 · 10th to 90th $166 to $3,311
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 $309.03 Median $501.19 Typical High $1,584.89 | Facility | None | $309.03 | $501.19 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $549.54 | Facility | TC · Technical part | $204.17 | $338.84 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $288.40 | $316.23 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $204.17 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $169.82 | $275.42 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $72.44 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $165.96 | $257.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $151.36 | $269.15 | $630.96 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $95.50 | $158.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $489.78 | Professional | TC · Technical part | $123.03 | $194.98 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $588.84 Typical High $812.83 | Facility | None | $281.84 | $588.84 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $707.95 | Professional | None (both parts) | $144.54 | $263.03 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $562.34 | Professional | TC · Technical part | $91.20 | $165.96 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,235.94 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $204.17 | $354.81 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $85.11 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $128.82 | $218.78 | $457.09 |
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 $154.88 Median $269.15 Typical High $275.42 | Facility | 52 · Reduced service | $154.88 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $107.15 Typical High $109.65 | Facility | 53 · Discontinued | $61.66 | $107.15 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $239.88 Median $426.58 Typical High $446.68 | Facility | FX · Film X-ray | $239.88 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $158.49 Typical High $223.87 | Professional | 52 · Reduced service | $144.54 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $89.13 | Professional | 53 · Discontinued | $57.54 | $63.10 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $251.19 Typical High $363.08 | Professional | FX · Film X-ray | $234.42 | $251.19 | $363.08 |
Where Tennessee sits
The same service costs 6.5 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· 22nd of 51
$398
AK $794UT $123
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.