How much rates vary
Facilitymedian $513 · 10th to 90th $324 to $1,175Professionalmedian $380 · 10th to 90th $178 to $2,884
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 $309.03 Median $501.19 Typical High $1,584.89 | Facility | None | $309.03 | $501.19 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $549.54 | Facility | TC · Technical part | $223.87 | $389.05 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $302.00 | $331.13 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $102.33 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $208.93 | $229.09 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $151.36 | $245.47 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $69.18 | $109.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $190.55 | $251.19 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $169.82 | $275.42 | $588.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $83.18 | $141.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $213.80 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $912.01 | Facility | None | $331.13 | $660.69 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $151.36 | $275.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $75.86 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $102.33 | $186.21 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,884.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $213.80 | $354.81 | $575.44 |
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 $144.54 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $144.54 | $218.78 | $436.52 |
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 $165.96 Median $269.15 Typical High $275.42 | Facility | 52 · Reduced service | $165.96 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $107.15 Typical High $109.65 | Facility | 53 · Discontinued | $67.61 | $107.15 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $269.15 Median $426.58 Typical High $446.68 | Facility | FX · Film X-ray | $269.15 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $223.87 | Professional | 52 · Reduced service | $151.36 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $89.13 | Professional | 53 · Discontinued | $60.26 | $66.07 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $269.15 Typical High $363.08 | Professional | FX · Film X-ray | $245.47 | $269.15 | $363.08 |
Where Tennessee sits
The same service costs 13.5 times more in Vermont 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· 22nd of 51
$389
VT $2,089UT $155
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.