How much rates vary
Facilitymedian $174 · 10th to 90th $4 to $288Professionalmedian $68 · 10th to 90th $19 to $1,738
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3.80 Median $3.80 Typical High $35.48 | Facility | None | $3.80 | $3.80 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.49 Typical High $24.55 | Professional | TC · Technical part | $15.14 | $15.49 | $24.55 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $18.20 Median $52.48 Typical High $117.49 | Professional | None (both parts) | $18.20 | $52.48 | $117.49 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $40.74 | $66.07 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $81.28 | Professional | TC · Technical part | $22.39 | $33.88 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $288.40 | Facility | None | $173.78 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $69.18 Typical High $309.03 | Professional | None (both parts) | $34.67 | $69.18 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $19.95 | $36.31 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $30.90 Typical High $263.03 | Professional | TC · Technical part | $15.14 | $30.90 | $263.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $281.84 | Professional | None (both parts) | $41.69 | $75.86 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $30.20 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $32.36 Typical High $257.04 | Professional | TC · Technical part | $18.20 | $32.36 | $257.04 |
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 $12.30 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $12.30 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $5.01 | $7.08 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $19.95 | $28.18 | $29.51 |
Where Tennessee sits
The same service costs 7.2 times more in Alabama 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· 25th of 51
$67.61
AL $251FL $34.67
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.