How much rates vary
Facilitymedian $55 · 10th to 90th $35 to $98Professionalmedian $36 · 10th to 90th $25 to $288
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 $45.71 | Facility | None | $25.70 | $30.20 | $45.71 |
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 $6.92 Median $7.24 Typical High $12.30 | Professional | 26 · Professional part | $6.92 | $7.24 | $12.30 |
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 $20.89 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $20.89 | $35.48 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.17 | $8.51 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $18.20 | $31.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $20.89 | $30.90 | $60.26 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $10.00 | $17.38 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $22.39 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $107.15 | Facility | None | $50.12 | $54.95 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $25.12 | $30.90 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $6.46 | $9.12 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $21.38 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $208.93 | $208.93 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $162.18 | $223.87 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $36.31 | Facility | None | $19.95 | $19.95 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $26.92 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $22.39 | $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 6.0 times more in Vermont 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· 27th of 51
$37.15
VT $155FL $25.70
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.