How much rates vary
Facilitymedian $162 · 10th to 90th $138 to $275Professionalmedian $135 · 10th to 90th $93 to $1,047
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 $95.50 Median $95.50 Typical High $162.18 | Facility | None | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $95.50 | $100.00 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $45.71 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $52.48 | $54.95 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $77.62 | $91.20 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $85.11 | $125.89 | $229.09 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $58.88 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $72.44 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $275.42 | Facility | None | $138.04 | $169.82 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $93.33 | $104.71 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $46.77 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $57.54 | $120.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,047.13 | Professional | None (both parts) | $741.31 | $741.31 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | 26 · Professional part | $316.23 | $316.23 | $416.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $416.87 | $630.96 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $107.15 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $57.54 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $69.18 | $125.89 |
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 $47.86 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | FX · Film X-ray | $75.86 | $75.86 | $89.13 |
Where Tennessee sits
The same service costs 3.9 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· 22nd of 51
$138
AK $363TX $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.