How much rates vary
Facilitymedian $49 · 10th to 90th $32 to $83Professionalmedian $33 · 10th to 90th $22 to $251
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 $23.44 Median $24.55 Typical High $39.81 | Facility | None | $23.44 | $24.55 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $27.54 Typical High $28.84 | Facility | TC · Technical part | $16.60 | $27.54 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $24.55 Typical High $43.65 | Professional | None (both parts) | $23.44 | $24.55 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.92 Typical High $12.30 | Professional | 26 · Professional part | $6.61 | $6.92 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $17.78 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $21.38 | $31.62 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $5.89 | $8.51 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $15.49 | $29.51 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $19.50 | $30.20 | $56.23 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $10.00 | $16.98 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $15.49 | $21.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $93.33 | Facility | None | $43.65 | $51.29 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $22.39 | $29.51 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $16.98 | Professional | 26 · Professional part | $6.17 | $8.91 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $20.42 | $40.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $186.21 | $186.21 | $251.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $162.18 | $162.18 | $186.21 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $36.31 | Facility | None | $25.12 | $25.12 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $26.30 | $29.51 | $54.95 |
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 $18.20 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $20.42 | $38.90 |
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 $11.75 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $11.75 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.68 | $4.79 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | FX · Film X-ray | $18.62 | $18.62 | $21.88 |
Where Tennessee sits
The same service costs 11.2 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
$33.88
VT $263FL $23.44
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.