How much rates vary
Facilitymedian $59 · 10th to 90th $35 to $100Professionalmedian $38 · 10th to 90th $26 to $295
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 $26.92 Median $28.18 Typical High $47.86 | Facility | None | $26.92 | $28.18 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $34.67 | Facility | TC · Technical part | $20.42 | $33.11 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $26.92 | $28.18 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $12.88 | Professional | 26 · Professional part | $6.92 | $7.24 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $20.89 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $51.29 | Professional | None (both parts) | $21.38 | $26.92 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $9.12 | $14.45 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $21.88 | $32.36 | $64.57 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $7.41 | $10.23 | $18.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $23.99 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $63.10 Typical High $112.20 | Facility | None | $53.70 | $63.10 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $64.57 | Professional | None (both parts) | $26.30 | $30.90 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $6.46 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $18.62 | $21.88 | $47.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $218.78 | $218.78 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $61.66 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $165.96 | $229.09 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $37.15 | Facility | None | $25.12 | $25.12 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $27.54 | $33.11 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.55 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $24.55 | $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 $13.49 Median $14.13 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $5.62 | $6.61 |
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 $46.77 Median $46.77 Typical High $87.10 | Professional | 50 · Both sides | $46.77 | $46.77 | $87.10 |
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· 27th of 51
$38.02
AK $100FL $26.92
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.