How much rates vary
Facilitymedian $646 · 10th to 90th $380 to $1,585Professionalmedian $479 · 10th to 90th $234 to $3,715
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 $380.19 Median $588.84 Typical High $1,584.89 | Facility | None | $380.19 | $588.84 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $549.54 | Facility | TC · Technical part | $275.42 | $537.03 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $338.84 | $389.05 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $109.65 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $275.42 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $204.17 | $223.87 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $79.43 | $138.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $234.42 | $389.05 | $758.58 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $87.10 | $151.36 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $323.59 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $1,202.26 | Facility | None | $371.54 | $954.99 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $776.25 | Professional | None (both parts) | $173.78 | $331.13 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $81.28 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $234.42 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $2,951.21 | $3,715.35 | $3,715.35 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $245.47 | $436.52 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $316.23 | $489.78 |
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 $199.53 Median $269.15 Typical High $275.42 | Facility | 52 · Reduced service | $199.53 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $107.15 Typical High $109.65 | Facility | 53 · Discontinued | $79.43 | $107.15 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $426.58 Typical High $446.68 | Facility | FX · Film X-ray | $316.23 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $75.86 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $309.03 Typical High $371.54 | Professional | FX · Film X-ray | $281.84 | $309.03 | $371.54 |
Where Tennessee sits
The same service costs 6.0 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· 18th of 51
$479
WY $912UT $151
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.