How much rates vary
Facilitymedian $162 · 10th to 90th $95 to $302Professionalmedian $112 · 10th to 90th $76 to $813
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 $81.28 Median $85.11 Typical High $138.04 | Facility | None | $81.28 | $85.11 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $97.72 | Facility | TC · Technical part | $56.23 | $93.33 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $81.28 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $25.70 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $58.88 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $83.18 | $158.49 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $33.11 | $46.77 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $63.10 | $104.71 | $199.53 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $33.11 | $63.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $74.13 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $316.23 | Facility | None | $147.91 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $75.86 | $87.10 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $28.84 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $61.66 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $645.65 | $645.65 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $181.97 | $181.97 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $467.74 | $467.74 | $575.44 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $91.20 | Facility | None | $54.95 | $54.95 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $74.13 | $97.72 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $22.39 | $29.51 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $48.98 | $67.61 | $125.89 |
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 $40.74 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $16.98 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | FX · Film X-ray | $64.57 | $64.57 | $74.13 |
Where Tennessee sits
The same service costs 3.8 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· 23rd of 51
$115
AK $282UT $74.13
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.