How much rates vary
Facilitymedian $245 · 10th to 90th $200 to $603Professionalmedian $155 · 10th to 90th $93 to $1,023
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 $117.49 Median $117.49 Typical High $199.53 | Facility | None | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $114.82 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $23.99 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $93.33 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $89.13 | $134.90 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $34.67 | $58.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $109.65 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $602.56 | Facility | None | $204.17 | $245.47 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $85.11 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $30.90 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $61.66 | $102.33 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Professional | None (both parts) | $954.99 | $954.99 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 26 · Professional part | $245.47 | $245.47 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $120.23 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $30.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $104.71 | $190.55 |
3 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 $56.23 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $22.91 | $23.44 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | FX · Film X-ray | $93.33 | $93.33 | $109.65 |
Where Tennessee sits
The same service costs 3.5 times more in Alaska 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· 21st of 51
$158
AK $355TX $100
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.