How much rates vary
Facilitymedian $1,318 · 10th to 90th $724 to $2,239Professionalmedian $1,148 · 10th to 90th $741 to $6,310
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 $812.83 Median $812.83 Typical High $1,023.29 | Facility | None | $812.83 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $1,122.02 | Professional | None (both parts) | $758.58 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $457.09 Typical High $575.44 | Professional | 26 · Professional part | $436.52 | $457.09 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $363.08 | $407.38 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $257.04 Median $954.99 Typical High $1,905.46 | Professional | None (both parts) | $257.04 | $954.99 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $724.44 Typical High $1,174.90 | Professional | 26 · Professional part | $457.09 | $724.44 | $1,174.90 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $512.86 Typical High $1,047.13 | Professional | TC · Technical part | $309.03 | $512.86 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $1,995.26 | Facility | None | $724.44 | $1,318.26 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,148.15 Typical High $2,238.72 | Professional | None (both parts) | $812.83 | $1,148.15 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $676.08 Typical High $1,202.26 | Professional | 26 · Professional part | $436.52 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $501.19 Typical High $1,071.52 | Professional | TC · Technical part | $316.23 | $501.19 | $1,071.52 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $7,943.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 26 · Professional part | $5,011.87 | $5,011.87 | $5,011.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $977.24 Typical High $2,344.23 | Professional | None (both parts) | $812.83 | $977.24 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $616.60 Typical High $1,202.26 | Professional | 26 · Professional part | $446.68 | $616.60 | $1,202.26 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $1,148.15 | Professional | TC · Technical part | $204.17 | $407.38 | $1,148.15 |
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 $398.11 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $398.11 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $158.49 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $549.54 | $602.56 | $758.58 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $602.56 Median $660.69 Typical High $691.83 | Professional | FX · Film X-ray | $602.56 | $660.69 | $691.83 |
Where Tennessee sits
The same service costs 5.6 times more in Alaska 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· 21st of 51
$1,148
AK $3,715FL $661
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.