How much rates vary
Facilitymedian $219 · 10th to 90th $141 to $437Professionalmedian $162 · 10th to 90th $115 to $1,479
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 $102.33 Median $114.82 Typical High $204.17 | Facility | None | $102.33 | $114.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $114.82 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $48.98 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $70.79 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $102.33 | $141.25 | $263.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $64.57 | $112.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $83.18 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $436.52 | Facility | None | $158.49 | $218.78 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $109.65 | $141.25 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $51.29 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $85.11 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,479.11 | Professional | None (both parts) | $933.25 | $933.25 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | 26 · Professional part | $371.54 | $371.54 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $933.25 | Professional | TC · Technical part | $575.44 | $575.44 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $120.23 | $141.25 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $81.28 | $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 $57.54 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $93.33 | $107.15 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 31st of 51
$162
AK $468UT $95.50
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.