How much rates vary
Facilitymedian $71 · 10th to 90th $54 to $339Professionalmedian $58 · 10th to 90th $32 to $417
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 $33.11 Median $33.11 Typical High $74.13 | Facility | None | $33.11 | $33.11 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $33.11 | $34.67 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $13.49 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $20.89 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $70.79 | $70.79 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $9.77 Typical High $14.45 | Professional | 26 · Professional part | $4.47 | $9.77 | $14.45 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $23.99 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $23.99 | $44.67 | $95.50 |
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 $19.05 Median $30.20 Typical High $72.44 | Professional | TC · Technical part | $19.05 | $30.20 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $354.81 | Facility | None | $54.95 | $75.86 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $104.71 | Professional | None (both parts) | $32.36 | $47.86 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $17.78 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $72.44 | Professional | TC · Technical part | $19.95 | $28.18 | $72.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $363.08 | $416.87 | $416.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $102.33 | $102.33 | $125.89 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $269.15 | $316.23 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $37.15 | $52.48 | $87.10 |
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 $21.88 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $21.88 | $30.20 | $56.23 |
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 $16.60 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.61 | $6.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | FX · Film X-ray | $26.30 | $26.30 | $29.51 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in New York. 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
$58.88
AK $115NY $30.20
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.