How much rates vary
Facilitymedian $195 · 10th to 90th $129 to $3,311Professionalmedian $162 · 10th to 90th $93 to $3,388
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $97.72 | $102.33 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $46.77 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $114.82 | Professional | TC · Technical part | $53.70 | $56.23 | $114.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $81.28 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $81.28 | $154.88 | $295.12 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $67.61 | $114.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $194.98 | Professional | TC · Technical part | $58.88 | $93.33 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $3,311.31 | Facility | None | $128.82 | $194.98 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $602.56 | Professional | None (both parts) | $89.13 | $147.91 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $524.81 | Professional | TC · Technical part | $46.77 | $79.43 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $117.49 | $181.97 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $389.05 | Professional | TC · Technical part | $64.57 | $97.72 | $389.05 |
4 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 $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | FX · Film X-ray | $77.62 | $77.62 | $85.11 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | XU · Unusual separate service | $89.13 | $89.13 | $89.13 |
Where Tennessee sits
The same service costs 4.8 times more in Kansas 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· 33rd of 51
$162
KS $363UT $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.