How much rates vary
Facilitymedian $65 · 10th to 90th $34 to $112Professionalmedian $39 · 10th to 90th $28 to $331
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 $28.84 Median $33.88 Typical High $50.12 | Facility | None | $28.84 | $33.88 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $38.02 | Facility | TC · Technical part | $21.88 | $36.31 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $28.84 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $7.59 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $22.91 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $23.99 | $33.88 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.00 Typical High $22.39 | Professional | 26 · Professional part | $6.61 | $10.00 | $22.39 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $21.38 | $39.81 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $23.44 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $23.44 | $34.67 | $67.61 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.47 | $18.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $25.70 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $117.49 | Facility | None | $58.88 | $64.57 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $28.18 | $33.11 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $6.76 | $9.77 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $23.44 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $234.42 | $234.42 | $331.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $70.79 | $70.79 | $72.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $181.97 | $181.97 | $257.04 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Facility | None | $30.20 | $30.20 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $28.84 | $34.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $9.55 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $25.70 | $50.12 |
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 $14.45 Median $15.14 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $6.03 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $23.44 | $28.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $53.70 Typical High $97.72 | Professional | 50 · Both sides | $35.48 | $53.70 | $97.72 |
Where Tennessee sits
The same service costs 13.5 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· 29th of 51
$39.81
VT $389FL $28.84
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.