How much rates vary
Facilitymedian $191 · 10th to 90th $110 to $316Professionalmedian $123 · 10th to 90th $85 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 $93.33 Median $109.65 Typical High $162.18 | Facility | None | $93.33 | $109.65 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $123.03 | Facility | TC · Technical part | $70.79 | $117.49 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $93.33 | $97.72 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $24.55 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $74.13 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $67.61 | $93.33 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $17.38 | $25.12 | $45.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $60.26 | $112.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $85.11 | $120.23 | $223.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $31.62 | $56.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $91.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $316.23 | Facility | None | $151.36 | $190.55 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $85.11 | $91.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $24.55 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $24.55 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $67.61 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $724.44 | $724.44 | $933.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $549.54 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $93.33 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $89.13 | $158.49 |
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 $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
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 4.1 times more in Minnesota 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· 26th of 51
$126
MN $363FL $89.13
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.