How much rates vary
Facilitymedian $331 · 10th to 90th $129 to $331Professionalmedian $372 · 10th to 90th $98 to $3,388
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $331.13 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $309.03 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $72.44 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $72.44 | $173.78 | $389.05 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $48.98 | $81.28 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $478.63 | Professional | TC · Technical part | $38.90 | $58.88 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $218.78 | Facility | None | $128.82 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $309.03 | $501.19 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $457.09 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,630.78 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,311.31 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $93.33 | $467.74 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $46.77 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $47.86 | $407.38 | $724.44 |
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 $165.96 Median $165.96 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $165.96 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | 53 · Discontinued | $66.07 | $66.07 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $389.05 | Professional | FX · Film X-ray | $263.03 | $263.03 | $389.05 |
Where Tennessee sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 48th of 51
$372
WI $1,202OR $72.44
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.