How much rates vary
Facilitymedian $83 · 10th to 90th $66 to $200Professionalmedian $83 · 10th to 90th $47 to $603
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 $91.20 | Facility | None | $47.86 | $47.86 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $41.69 | Facility | TC · Technical part | $23.99 | $39.81 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $102.33 | Professional | None (both parts) | $47.86 | $50.12 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $25.12 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.12 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $25.12 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $45.71 | $47.86 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $25.70 | $45.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $24.55 | $51.29 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $141.25 | Professional | None (both parts) | $42.66 | $63.10 | $141.25 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $32.36 | $57.54 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $97.72 | Professional | TC · Technical part | $23.44 | $33.88 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $204.17 | Facility | None | $66.07 | $91.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $144.54 | Professional | None (both parts) | $46.77 | $54.95 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $26.30 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $89.13 | Professional | TC · Technical part | $24.55 | $26.92 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $524.81 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | 26 · Professional part | $194.98 | $194.98 | $223.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $363.08 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $53.70 | $72.44 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $85.11 | Professional | TC · Technical part | $26.92 | $35.48 | $85.11 |
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 $23.99 Median $23.99 Typical High $28.18 | Professional | 52 · Reduced service | $23.99 | $23.99 | $28.18 |
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 $44.67 | Professional | FX · Film X-ray | $38.02 | $38.02 | $44.67 |
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· 26th of 51
$83.18
AK $182TX $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.