How much rates vary
Facilitymedian $813 · 10th to 90th $513 to $1,585Professionalmedian $525 · 10th to 90th $282 to $3,467
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 $512.86 Median $645.65 Typical High $1,584.89 | Facility | None | $512.86 | $645.65 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $549.54 Typical High $676.08 | Facility | TC · Technical part | $407.38 | $549.54 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $426.58 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $97.72 | $123.03 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $407.38 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $316.23 | $346.74 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $57.54 | $89.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $281.84 | $436.52 | $812.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $97.72 | $169.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,584.89 | Facility | None | $549.54 | $1,174.90 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $954.99 | Professional | None (both parts) | $234.42 | $426.58 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $776.25 | Professional | TC · Technical part | $177.83 | $323.59 | $776.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 26 · Professional part | $616.60 | $616.60 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $338.84 | $501.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $91.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $371.54 | $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 $269.15 Median $275.42 Typical High $338.84 | Facility | 52 · Reduced service | $269.15 | $275.42 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $138.04 | Facility | 53 · Discontinued | $107.15 | $109.65 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $549.54 | Facility | FX · Film X-ray | $426.58 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $107.15 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $426.58 | $426.58 |
Where Tennessee sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 22nd of 51
$525
WY $1,259TX $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.