How much rates vary
Facilitymedian $87 · 10th to 90th $72 to $468Professionalmedian $76 · 10th to 90th $47 to $501
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $48.98 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $21.38 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $27.54 | $28.84 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $31.62 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $31.62 | $64.57 | $123.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $32.36 | $54.95 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $37.15 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $467.74 | Facility | None | $72.44 | $89.13 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $46.77 | $64.57 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $29.51 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $26.92 | $36.31 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $158.49 | $158.49 | $199.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $239.88 | $239.88 | $302.00 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $54.95 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $36.31 | $64.57 |
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 $24.55 Median $24.55 Typical High $28.84 | Professional | 52 · Reduced service | $24.55 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $10.00 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | FX · Film X-ray | $38.90 | $38.90 | $42.66 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 21st of 51
$75.86
AK $178TX $46.77
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.