How much rates vary
Facilitymedian $234 · 10th to 90th $93 to $372Professionalmedian $158 · 10th to 90th $98 to $1,072
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 $93.33 Median $93.33 Typical High $162.18 | Facility | None | $93.33 | $93.33 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $93.33 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $30.20 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $64.57 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $102.33 | $151.36 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $40.74 | $72.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $109.65 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $380.19 | Facility | None | $120.23 | $234.42 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $104.71 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $32.36 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $81.28 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,071.52 | Professional | None (both parts) | $741.31 | $741.31 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 26 · Professional part | $269.15 | $269.15 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $512.86 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $107.15 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $107.15 | $190.55 |
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 $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | FX · Film X-ray | $74.13 | $74.13 | $87.10 |
Where Tennessee sits
The same service costs 3.7 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· 23rd of 51
$158
AK $363TX $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.