How much rates vary
Facilitymedian $380 · 10th to 90th $302 to $525Professionalmedian $224 · 10th to 90th $107 to $1,072
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $18.20 | $18.20 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $125.89 | $199.53 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $107.15 | $181.97 | $426.58 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $37.15 | $60.26 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $524.81 | Facility | None | $302.00 | $380.19 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $125.89 | $223.87 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $18.20 | $32.36 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $416.87 | Professional | TC · Technical part | $107.15 | $194.98 | $416.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $169.82 | $169.82 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $112.20 | $194.98 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $26.30 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $104.71 | $169.82 | $363.08 |
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 $70.79 Median $72.44 Typical High $100.00 | Professional | 52 · Reduced service | $70.79 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $28.18 | $28.84 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | FX · Film X-ray | $112.20 | $112.20 | $162.18 |
Where Tennessee sits
The same service costs 4.7 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
$269
AK $646KY $138
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.