How much rates vary
Facilitymedian $78 · 10th to 90th $58 to $151Professionalmedian $58 · 10th to 90th $39 to $427
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 $39.81 Median $41.69 Typical High $70.79 | Facility | None | $39.81 | $41.69 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $46.77 | Facility | TC · Technical part | $26.92 | $44.67 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $39.81 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $13.80 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $28.18 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $30.20 | $33.11 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $14.45 | $25.70 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $30.90 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $30.90 | $52.48 | $97.72 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $19.05 | $33.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $36.31 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $83.18 Typical High $151.36 | Facility | None | $72.44 | $83.18 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $38.90 | $50.12 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $17.38 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $26.30 | $31.62 | $66.07 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $323.59 | $323.59 | $426.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $251.19 | $302.00 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $43.65 | $50.12 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $14.79 | $17.38 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $33.11 | $63.10 |
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 $19.95 Median $20.89 Typical High $23.44 | Professional | 52 · Reduced service | $19.95 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $8.32 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | FX · Film X-ray | $32.36 | $32.36 | $37.15 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska 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· 25th of 51
$58.88
AK $148UT $33.11
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.