How much rates vary
Facilitymedian $60 · 10th to 90th $44 to $151Professionalmedian $56 · 10th to 90th $35 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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $38.02 | $39.81 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $21.38 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $29.51 | Professional | TC · Technical part | $17.38 | $18.20 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $33.88 | $34.67 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $26.92 | $47.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $33.88 | $48.98 | $87.10 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $27.54 | $48.98 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $23.44 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $151.36 | Facility | None | $43.65 | $61.66 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $120.23 | Professional | None (both parts) | $35.48 | $41.69 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $21.88 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.20 Typical High $66.07 | Professional | TC · Technical part | $16.22 | $18.20 | $66.07 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $426.58 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $151.36 | $151.36 | $199.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $42.66 | $52.48 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $27.54 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $56.23 | Professional | TC · Technical part | $19.05 | $23.44 | $56.23 |
2 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 FX · Film X-ray Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | FX · Film X-ray | $30.20 | $30.20 | $33.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 59 · Distinct service | $33.88 | $33.88 | $36.31 |
Where Tennessee sits
The same service costs 4.5 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· 29th of 51
$56.23
AK $141UT $31.62
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.