How much rates vary
Facilitymedian $191 · 10th to 90th $115 to $331Professionalmedian $132 · 10th to 90th $93 to $1,023
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 $100.00 Median $117.49 Typical High $173.78 | Facility | None | $100.00 | $117.49 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $123.03 | Facility | TC · Technical part | $72.44 | $117.49 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $100.00 | $104.71 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $29.51 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $72.44 | $75.86 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $87.10 | $95.50 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $36.31 | $56.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $64.57 | $114.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $83.18 | $123.03 | $223.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $38.02 | $67.61 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $89.13 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $331.13 | Facility | None | $154.88 | $199.53 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $93.33 | $102.33 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $30.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $69.18 | $147.91 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $776.25 | $776.25 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $575.44 | $575.44 | $741.31 |
United Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $190.55 | Facility | None | $79.43 | $109.65 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $100.00 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $87.10 | $162.18 |
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 $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | FX · Film X-ray | $79.43 | $79.43 | $93.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | 59 · Distinct service | $87.10 | $87.10 | $144.54 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$135
AK $355FL $97.72
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.