How much rates vary
Facilitymedian $55 · 10th to 90th $35 to $91Professionalmedian $36 · 10th to 90th $25 to $275
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 $25.70 Median $30.20 Typical High $44.67 | Facility | None | $25.70 | $30.20 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $30.90 Typical High $32.36 | Facility | TC · Technical part | $18.62 | $30.90 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $25.70 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $7.59 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $19.50 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $48.98 | Professional | None (both parts) | $19.95 | $25.12 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $6.46 | $7.94 | $14.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $21.38 | $31.62 | $61.66 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.47 | $18.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $16.98 | $23.44 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $104.71 | Facility | None | $48.98 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $25.12 | $33.11 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $6.76 | $9.55 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $22.91 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $208.93 | $208.93 | $275.42 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $177.83 | $177.83 | $208.93 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $50.12 | Facility | None | $22.91 | $22.91 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $28.18 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $9.55 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $22.91 | $43.65 |
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 $12.88 Median $13.18 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.37 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | FX · Film X-ray | $20.42 | $20.42 | $24.55 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska 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· 26th of 51
$37.15
AK $95.50FL $25.12
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.