How much rates vary
Facilitymedian $186 · 10th to 90th $120 to $871Professionalmedian $135 · 10th to 90th $83 to $912
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 $95.50 Median $95.50 Typical High $169.82 | Facility | None | $95.50 | $95.50 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $95.50 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $56.23 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $85.11 | $85.11 | $109.65 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $81.28 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $81.28 | $134.90 | $239.88 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $46.77 | $100.00 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $91.20 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $1,023.29 | Facility | None | $125.89 | $194.98 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $83.18 | $107.15 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $42.66 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $151.36 | Professional | TC · Technical part | $44.67 | $58.88 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $912.01 | Professional | None (both parts) | $794.33 | $794.33 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $309.03 | $309.03 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $524.81 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $77.62 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $38.90 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $79.43 | $141.25 |
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 $46.77 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $75.86 Typical High $81.28 | Professional | FX · Film X-ray | $74.13 | $75.86 | $81.28 |
Where Tennessee sits
The same service costs 4.2 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· 20th of 51
$135
AK $316UT $75.86
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.