How much rates vary
Facilitymedian $178 · 10th to 90th $115 to $295Professionalmedian $138 · 10th to 90th $91 to $977
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 $97.72 Median $114.82 Typical High $173.78 | Facility | None | $97.72 | $114.82 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $112.20 | Facility | TC · Technical part | $66.07 | $109.65 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $97.72 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $34.67 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $69.18 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $72.44 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $36.31 | $64.57 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $56.23 | $114.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $91.20 | $128.82 | $239.88 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $44.67 | $79.43 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $64.57 | $91.20 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $295.12 | Facility | None | $151.36 | $190.55 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $91.20 | $109.65 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $36.31 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $70.79 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $758.58 | $758.58 | $977.24 |
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 $512.86 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $512.86 | $512.86 | $676.08 |
United Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $223.87 | Facility | None | $79.43 | $114.82 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $112.20 | $131.83 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $44.67 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $87.10 | $151.36 |
4 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 $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $79.43 | $87.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 59 · Distinct service | $85.11 | $85.11 | $87.10 |
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· 30th of 51
$138
AK $355TX $93.33
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.