How much rates vary
Facilitymedian $76 · 10th to 90th $45 to $162Professionalmedian $102 · 10th to 90th $46 to $724
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $47.86 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $30.20 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $28.18 | Professional | TC · Technical part | $17.38 | $18.20 | $28.18 |
BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $43.65 | $93.33 | $165.96 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $54.95 | $91.20 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $16.98 | $43.65 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $162.18 | Facility | None | $44.67 | $75.86 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $173.78 | Professional | None (both parts) | $44.67 | $61.66 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $36.31 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $21.88 | $77.62 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $56.23 | $93.33 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $38.02 | $72.44 |
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 $23.44 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | FX · Film X-ray | $38.02 | $38.02 | $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· 14th of 51
$102
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.