How much rates vary
Facilitymedian $62 · 10th to 90th $25 to $646Professionalmedian $40 · 10th to 90th $18 to $776
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 $5.25 Median $33.88 Typical High $57.54 | Facility | None | $5.25 | $33.88 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $34.67 Typical High $35.48 | Facility | TC · Technical part | $20.89 | $34.67 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $25.70 | $35.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $13.49 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $15.49 | $21.88 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.14 Typical High $17.38 | Professional | 26 · Professional part | $11.22 | $15.14 | $17.38 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $13.18 Median $24.55 Typical High $74.13 | Professional | None (both parts) | $13.18 | $24.55 | $74.13 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.75 Typical High $30.20 | Professional | 26 · Professional part | $7.76 | $11.75 | $30.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $13.80 Typical High $48.98 | Professional | TC · Technical part | $7.41 | $13.80 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $61.66 Typical High $645.65 | Facility | None | $24.55 | $61.66 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $20.42 | $33.11 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $30.20 | Professional | 26 · Professional part | $9.12 | $12.88 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $11.22 | $20.89 | $48.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $758.58 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $741.31 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $18.62 | $39.81 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.49 Typical High $30.90 | Professional | 26 · Professional part | $7.94 | $15.49 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $10.00 | $24.55 | $50.12 |
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 $16.98 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | FX · Film X-ray | $26.92 | $26.92 | $30.20 |
Where Tennessee sits
The same service costs 9.3 times more in Alaska than in New York. 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· 30th of 51
$39.81
AK $123NY $13.18
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.