How much rates vary
Facilitymedian $54 · 10th to 90th $32 to $102Professionalmedian $36 · 10th to 90th $26 to $309
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 $27.54 Median $33.11 Typical High $47.86 | Facility | None | $27.54 | $33.11 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $32.36 Typical High $33.88 | Facility | TC · Technical part | $19.50 | $32.36 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $27.54 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $8.32 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $20.89 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $22.39 | $28.18 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $9.55 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $36.31 | Professional | TC · Technical part | $16.60 | $20.42 | $36.31 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $21.88 | $33.11 | $64.57 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $11.75 | $19.95 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $23.44 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $112.20 | Facility | None | $52.48 | $58.88 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $26.92 | $33.88 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $10.23 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $22.91 | $44.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $223.87 | $223.87 | $309.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | TC · Technical part | $177.83 | $177.83 | $234.42 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $47.86 | Facility | None | $30.20 | $30.20 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $28.84 | $33.88 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $8.91 | $10.47 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $23.44 | $45.71 |
4 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 $13.80 Median $14.13 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $6.46 | Professional | 53 · Discontinued | $5.50 | $5.62 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | FX · Film X-ray | $21.88 | $21.88 | $25.70 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $56.23 Typical High $81.28 | Professional | 50 · Both sides | $38.90 | $56.23 | $81.28 |
Where Tennessee sits
The same service costs 15.5 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· 32nd of 51
$37.15
VT $427FL $27.54
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.