How much rates vary
Facilitymedian $40 · 10th to 90th $29 to $81Professionalmedian $28 · 10th to 90th $17 to $186
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 $16.22 Median $17.38 Typical High $30.20 | Facility | None | $16.22 | $17.38 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $10.96 Median $18.20 Typical High $19.05 | Facility | TC · Technical part | $10.96 | $18.20 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $18.20 Typical High $33.11 | Professional | None (both parts) | $17.38 | $18.20 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $6.61 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $11.48 Typical High $22.39 | Professional | TC · Technical part | $10.96 | $11.48 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $40.74 | Professional | None (both parts) | $13.49 | $13.49 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.76 Typical High $12.30 | Professional | 26 · Professional part | $5.62 | $7.76 | $12.30 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $14.79 Median $25.70 Typical High $44.67 | Professional | None (both parts) | $14.79 | $25.70 | $44.67 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $9.55 | $16.22 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $16.98 Typical High $31.62 | Professional | TC · Technical part | $12.02 | $16.98 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $89.13 | Facility | None | $29.51 | $40.74 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $16.60 | $23.99 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $15.49 Typical High $30.20 | Professional | TC · Technical part | $10.72 | $15.49 | $30.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $173.78 | $173.78 | $186.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $125.89 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $42.66 | Professional | None (both parts) | $19.50 | $25.12 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $16.22 Typical High $27.54 | Professional | TC · Technical part | $12.02 | $16.22 | $27.54 |
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 $8.71 Median $8.91 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $8.91 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | FX · Film X-ray | $13.80 | $13.80 | $16.22 |
Where Tennessee sits
The same service costs 3.7 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· 23rd of 51
$28.18
AK $64.57FL $17.38
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.