How much rates vary
Facilitymedian $148 · 10th to 90th $89 to $263Professionalmedian $115 · 10th to 90th $71 to $851
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 $85.11 Median $97.72 Typical High $147.91 | Facility | None | $85.11 | $97.72 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $102.33 | Facility | TC · Technical part | $58.88 | $97.72 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $85.11 | $89.13 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $27.54 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $61.66 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None (both parts) | $61.66 | $72.44 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $30.90 | $51.29 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $61.66 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $57.54 | $95.50 | $199.53 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $35.48 | $63.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $32.36 | $66.07 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $263.03 | Facility | None | $102.33 | $162.18 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $194.98 | Professional | None (both parts) | $63.10 | $83.18 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $28.84 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $134.90 | Professional | TC · Technical part | $42.66 | $56.23 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $660.69 | $660.69 | $851.14 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | 26 · Professional part | $229.09 | $229.09 | $245.47 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $602.56 | Professional | TC · Technical part | $457.09 | $457.09 | $602.56 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $151.36 | Facility | None | $70.79 | $70.79 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $85.11 | $107.15 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $35.48 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $74.13 | $138.04 |
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 $42.66 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | FX · Film X-ray | $67.61 | $67.61 | $77.62 |
Where Tennessee sits
The same service costs 4.2 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· 25th of 51
$115
AK $302UT $72.44
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.