How much rates vary
Facilitymedian $676 · 10th to 90th $427 to $1,585Professionalmedian $501 · 10th to 90th $269 to $3,020
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $426.58 Median $645.65 Typical High $1,584.89 | Facility | None | $426.58 | $645.65 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $549.54 | Facility | TC · Technical part | $331.13 | $537.03 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $380.19 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $102.33 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $302.00 | $331.13 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $181.97 | $363.08 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $69.18 | $104.71 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $269.15 | $426.58 | $776.25 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $81.28 | $141.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $1,479.11 | Facility | None | $524.81 | $1,071.52 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $870.96 | Professional | None (both parts) | $223.87 | $407.38 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $74.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $323.59 | $724.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $2,884.03 | $3,019.95 | $3,019.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 26 · Professional part | $467.74 | $467.74 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $323.59 | $457.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $363.08 | $588.84 |
6 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 Facility Modifier 52 · Reduced service Typical Low $239.88 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $239.88 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $95.50 | $109.65 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $380.19 Median $436.52 Typical High $446.68 | Facility | FX · Film X-ray | $380.19 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $77.62 | $85.11 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $346.74 Typical High $407.38 | Professional | FX · Film X-ray | $316.23 | $346.74 | $407.38 |
Where Tennessee sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 19th of 51
$513
WY $1,202UT $234
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.