How much rates vary
Facilitymedian $11 · 10th to 90th $7 to $32Professionalmedian $14 · 10th to 90th $9 to $1,413
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 $4.17 Median $4.17 Typical High $9.33 | Facility | None | $4.17 | $4.17 | $9.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.77 Typical High $14.45 | Professional | None (both parts) | $9.33 | $9.77 | $14.45 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.76 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $6.76 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $2.95 Typical High $4.68 | Professional | TC · Technical part | $2.82 | $2.95 | $4.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.71 Median $9.12 Typical High $18.62 | Professional | None (both parts) | $8.71 | $9.12 | $18.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $8.32 Median $14.45 Typical High $25.12 | Professional | None (both parts) | $8.32 | $14.45 | $25.12 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $6.46 | $10.23 | $17.38 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $4.68 Typical High $8.51 | Professional | TC · Technical part | $2.82 | $4.68 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $12.02 Typical High $32.36 | Facility | None | $7.41 | $12.02 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.22 Typical High $22.91 | Professional | None (both parts) | $8.91 | $11.22 | $22.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $16.98 | Professional | 26 · Professional part | $6.17 | $7.76 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $2.88 Typical High $7.41 | Professional | TC · Technical part | $2.69 | $2.88 | $7.41 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 26 · Professional part | $1,288.25 | $1,288.25 | $1,288.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $10.96 Median $13.49 Typical High $23.44 | Professional | None (both parts) | $10.96 | $13.49 | $23.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $9.55 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $4.07 Typical High $7.41 | Professional | TC · Technical part | $3.02 | $4.07 | $7.41 |
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 $4.68 Median $4.68 Typical High $5.50 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.19 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $7.59 Typical High $8.71 | Professional | FX · Film X-ray | $7.59 | $7.59 | $8.71 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 34th of 51
$13.49
AK $35.48FL $9.12
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.