How much rates vary
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 $131.83 Median $169.82 Typical High $208.93 | Facility | None | $131.83 | $169.82 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $173.78 | Professional | None | $97.72 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $95.50 | Professional | 52 · Reduced service | $51.29 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $21.38 | $38.02 |
BCBS Tennessee Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $275.42 | Professional | None | $112.20 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $316.23 Typical High $457.09 | Facility | None | $223.87 | $316.23 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $269.15 | Professional | None | $102.33 | $151.36 | $269.15 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $281.84 | Professional | None | $104.71 | $125.89 | $281.84 |
1 more rate 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 FX · Film X-ray Typical Low $72.44 Median $85.11 Typical High $169.82 | Professional | FX · Film X-ray | $72.44 | $85.11 | $169.82 |
Where Tennessee sits
The same service costs 4.2 times more in Alaska than in New York. 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
$155
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.