How much rates vary
Facilitymedian $617 · 10th to 90th $363 to $1,000Professionalmedian $447 · 10th to 90th $275 to $2,138
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 $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $275.42 | $288.40 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $42.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $251.19 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $54.95 | $95.50 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $275.42 | $380.19 | $831.76 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $83.18 | $134.90 |
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 $257.04 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $257.04 | $446.68 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $40.74 | $74.13 | $144.54 |
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 $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,630.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 26 · Professional part | $363.08 | $363.08 | $380.19 |
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 Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $251.19 | $389.05 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $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 $138.04 Median $141.25 Typical High $194.98 | Professional | 52 · Reduced service | $138.04 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $57.54 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | FX · Film X-ray | $223.87 | $223.87 | $316.23 |
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· 13th of 51
$513
AK $1,288KY $275
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.