How much rates vary
Facilitymedian $12 · 10th to 90th $9 to $148Professionalmedian $11 · 10th to 90th $6 to $776
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 $0.85 Median $5.01 Typical High $10.23 | Facility | None | $0.85 | $5.01 | $10.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.75 Typical High $6.61 | Professional | None (both parts) | $5.62 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.29 Typical High $2.57 | Professional | 26 · Professional part | $2.19 | $2.29 | $2.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.55 Typical High $4.37 | Professional | TC · Technical part | $3.39 | $3.55 | $4.37 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $4.47 Median $8.13 Typical High $15.85 | Professional | None (both parts) | $4.47 | $8.13 | $15.85 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $3.24 Typical High $5.62 | Professional | 26 · Professional part | $2.34 | $3.24 | $5.62 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $5.37 Typical High $10.72 | Professional | TC · Technical part | $3.63 | $5.37 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $147.91 | Facility | None | $8.71 | $12.59 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.50 Median $8.32 Typical High $37.15 | Professional | None (both parts) | $5.50 | $8.32 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.09 Median $3.02 Typical High $5.62 | Professional | 26 · Professional part | $2.09 | $3.02 | $5.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $5.13 Typical High $33.11 | Professional | TC · Technical part | $3.47 | $5.13 | $33.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $758.58 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $741.31 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $6.31 Median $9.33 Typical High $36.31 | Professional | None (both parts) | $6.31 | $9.33 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.16 Typical High $5.75 | Professional | 26 · Professional part | $2.57 | $3.16 | $5.75 |
United Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $5.37 Typical High $25.70 | Professional | TC · Technical part | $3.72 | $5.37 | $25.70 |
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 $2.82 Median $2.88 Typical High $3.31 | Professional | 52 · Reduced service | $2.82 | $2.88 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.32 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.47 Median $4.47 Typical High $5.25 | Professional | FX · Film X-ray | $4.47 | $4.47 | $5.25 |
Where Tennessee sits
The same service costs 4.2 times more in Kansas than in Florida. 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· 18th of 51
$11.48
KS $23.99FL $5.75
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.