How much rates vary
Facilitymedian $191 · 10th to 90th $141 to $309Professionalmedian $132 · 10th to 90th $87 to $933
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 $165.96 | Facility | None | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $95.50 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $26.92 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $67.61 | $70.79 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $22.39 | $48.98 | $60.26 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $83.18 | $123.03 | $223.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $35.48 | $63.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $93.33 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $309.03 | Facility | None | $151.36 | $190.55 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $87.10 | $95.50 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $28.18 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $66.07 | $147.91 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $741.31 | $741.31 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $549.54 | $549.54 | $691.83 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $100.00 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $85.11 | $154.88 |
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 $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | FX · Film X-ray | $75.86 | $75.86 | $87.10 |
Where Tennessee sits
The same service costs 3.9 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· 24th of 51
$132
AK $339TX $87.10
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.