How much rates vary
Facilitymedian $575 · 10th to 90th $257 to $891Professionalmedian $309 · 10th to 90th $209 to $2,399
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 $218.78 Median $269.15 Typical High $478.63 | Facility | None | $218.78 | $269.15 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $457.09 | Facility | TC · Technical part | $223.87 | $371.54 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $245.47 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $39.81 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $251.19 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $208.93 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $38.90 | $67.61 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $616.60 | Professional | None (both parts) | $208.93 | $269.15 | $616.60 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $53.70 | $97.72 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $891.25 | Facility | None | $371.54 | $660.69 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $218.78 | $316.23 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $257.04 | $537.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Facility | None | $158.49 | $158.49 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $177.83 | $295.12 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $44.67 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $138.04 | $251.19 | $575.44 |
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 $128.82 Median $134.90 Typical High $218.78 | Professional | 52 · Reduced service | $128.82 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $87.10 | Professional | 53 · Discontinued | $51.29 | $53.70 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $363.08 | Professional | FX · Film X-ray | $194.98 | $218.78 | $363.08 |
Where Tennessee sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$316
AK $977KY $224
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.