How much rates vary
Facilitymedian $52 · 10th to 90th $35 to $148Professionalmedian $35 · 10th to 90th $24 to $269
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 $25.12 Median $25.12 Typical High $43.65 | Facility | None | $25.12 | $25.12 | $43.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $30.90 | Facility | TC · Technical part | $18.20 | $29.51 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $44.67 | Professional | None (both parts) | $25.12 | $26.30 | $44.67 |
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 $18.20 Median $19.05 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $19.05 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $43.65 | Professional | None (both parts) | $19.50 | $22.91 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $6.17 | $9.12 | $13.80 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $14.45 | $22.39 | $31.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $19.95 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $19.95 | $29.51 | $58.88 |
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 $15.85 Median $21.88 Typical High $43.65 | Professional | TC · Technical part | $15.85 | $21.88 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $151.36 | Facility | None | $47.86 | $56.23 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $24.55 | $30.20 | $57.54 |
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 $17.38 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $20.42 | $41.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $199.53 | $199.53 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $63.10 | $63.10 | $67.61 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $154.88 | $204.17 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $38.90 | Facility | None | $25.12 | $25.12 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $26.30 | $30.90 | $57.54 |
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 $21.38 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $21.38 | $41.69 |
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 $12.59 Median $12.88 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.13 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | FX · Film X-ray | $19.95 | $19.95 | $23.99 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $60.26 Typical High $128.82 | Professional | 50 · Both sides | $41.69 | $60.26 | $128.82 |
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· 28th of 51
$35.48
AK $91.20FL $24.55
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.