How much rates vary
Facilitymedian $195 · 10th to 90th $132 to $891Professionalmedian $158 · 10th to 90th $87 to $1,230
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $38.90 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $56.23 | $56.23 | $70.79 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $70.79 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $70.79 | $123.03 | $229.09 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $54.95 | $97.72 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $77.62 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $891.25 | Facility | None | $134.90 | $194.98 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $309.03 | Professional | None (both parts) | $83.18 | $128.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $48.98 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $48.98 | $74.13 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $104.71 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $79.43 | $162.18 |
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 $47.86 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $75.86 | $75.86 | $83.18 |
Where Tennessee sits
The same service costs 4.6 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· 19th of 51
$162
AK $347UT $75.86
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.