How much rates vary
Facilitymedian $347 · 10th to 90th $138 to $490Professionalmedian $162 · 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 $112.20 Median $112.20 Typical High $138.04 | Facility | None | $112.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $112.20 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $28.84 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $87.10 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $79.43 | $93.33 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $25.70 | $25.70 | $33.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $79.43 | $134.90 | $316.23 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $37.15 | $66.07 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $51.29 | $109.65 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $354.81 Typical High $489.78 | Facility | None | $151.36 | $354.81 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $112.20 | $154.88 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $30.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $128.82 | $234.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None (both parts) | $891.25 | $891.25 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | TC · Technical part | $691.83 | $691.83 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $97.72 | $144.54 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $38.02 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $63.10 | $112.20 | $218.78 |
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 $56.23 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $22.39 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | FX · Film X-ray | $89.13 | $89.13 | $104.71 |
Where Tennessee sits
The same service costs 4.9 times more in Wyoming 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· 24th of 51
$162
WY $501UT $102
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.