How much rates vary
Facilitymedian $166 · 10th to 90th $120 to $240Professionalmedian $98 · 10th to 90th $63 to $759
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 $70.79 Median $70.79 Typical High $125.89 | Facility | None | $70.79 | $70.79 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $70.79 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $19.95 | $20.42 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $51.29 | $53.70 | $77.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $72.44 | $100.00 | $186.21 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $28.84 | $50.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $79.43 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $239.88 | Facility | None | $123.03 | $169.82 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $181.97 | Professional | None (both parts) | $61.66 | $79.43 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $18.20 | $25.70 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $38.02 | $53.70 | $138.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $58.88 | $93.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $25.70 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $39.81 | $72.44 | $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 $35.48 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | FX · Film X-ray | $57.54 | $57.54 | $67.61 |
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· 27th of 51
$100
AK $245UT $64.57
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.