How much rates vary
Facilitymedian $617 · 10th to 90th $479 to $1,000Professionalmedian $457 · 10th to 90th $275 to $2,188
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 $281.84 Median $281.84 Typical High $489.78 | Facility | None | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $281.84 | $295.12 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $50.12 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $251.19 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $89.13 | $112.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $275.42 | $380.19 | $851.14 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $97.72 | $154.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $316.23 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,000.00 | Facility | None | $575.44 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $251.19 | $457.09 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $46.77 | $87.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $380.19 Typical High $794.33 | Professional | TC · Technical part | $204.17 | $380.19 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,691.53 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,691.53 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $354.81 | $354.81 | $446.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $234.42 | $398.11 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $72.44 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $213.80 | $346.74 | $676.08 |
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 $141.25 Median $144.54 Typical High $194.98 | Professional | 52 · Reduced service | $141.25 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $58.88 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | FX · Film X-ray | $229.09 | $229.09 | $316.23 |
Where Tennessee sits
The same service costs 4.0 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· 12th of 51
$525
AK $1,047KY $263
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.