How much rates vary
Facilitymedian $83 · 10th to 90th $48 to $537Professionalmedian $81 · 10th to 90th $46 to $977
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 Median $47.86 Typical High $169.82 | Facility | None | $47.86 | $47.86 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $154.88 | Professional | None (both parts) | $47.86 | $48.98 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $27.54 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $109.65 | Professional | TC · Technical part | $21.38 | $22.39 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $40.74 | $51.29 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $30.20 | $53.70 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $41.69 Median $63.10 Typical High $223.87 | Professional | None (both parts) | $41.69 | $63.10 | $223.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $36.31 | $63.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $181.97 | Professional | TC · Technical part | $20.89 | $30.90 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $630.96 | Facility | None | $380.19 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $199.53 | Professional | None (both parts) | $45.71 | $54.95 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $28.84 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $151.36 | Professional | TC · Technical part | $21.38 | $23.99 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $954.99 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $758.58 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $199.53 | Professional | None (both parts) | $52.48 | $72.44 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $162.18 | Professional | TC · Technical part | $22.91 | $31.62 | $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 $23.44 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | FX · Film X-ray | $38.02 | $38.02 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 59 · Distinct service | $40.74 | $40.74 | $53.70 |
Where Tennessee sits
The same service costs 4.6 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· 29th of 51
$81.28
AK $209TX $45.71
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.