How much rates vary
Facilitymedian $98 · 10th to 90th $60 to $178Professionalmedian $102 · 10th to 90th $52 to $525
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 $54.95 Median $54.95 Typical High $102.33 | Facility | None | $54.95 | $54.95 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $54.95 | $56.23 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $24.55 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $31.62 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $47.86 | $54.95 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $11.48 | $25.70 | $39.81 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $53.70 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $53.70 | $87.10 | $147.91 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $30.90 | $54.95 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $58.88 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $102.33 Typical High $190.55 | Facility | None | $60.26 | $102.33 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $144.54 | Professional | None (both parts) | $44.67 | $66.07 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $25.12 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $89.13 | Professional | TC · Technical part | $22.91 | $33.11 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $407.38 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $70.79 | $87.10 | $138.04 |
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 $44.67 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $54.95 | $83.18 |
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 $26.92 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $10.96 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $43.65 Typical High $45.71 | Professional | FX · Film X-ray | $42.66 | $43.65 | $45.71 |
Where Tennessee sits
The same service costs 4.1 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· 12th of 51
$102
AK $195TX $47.86
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.