How much rates vary
Facilitymedian $214 · 10th to 90th $166 to $339Professionalmedian $135 · 10th to 90th $91 to $1,000
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $97.72 | $102.33 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $30.90 | $46.77 |
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 $83.18 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $83.18 | $204.17 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $87.10 | $125.89 | $229.09 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $39.81 | $70.79 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $91.20 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $338.84 | Facility | None | $169.82 | $229.09 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $91.20 | $100.00 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $32.36 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $66.07 | $147.91 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $758.58 | $758.58 | $1,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $537.03 | $537.03 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $102.33 | $120.23 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $85.11 | $154.88 |
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 $48.98 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | FX · Film X-ray | $77.62 | $77.62 | $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· 24th of 51
$138
AK $347TX $89.13
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.