How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,000 to $2,692Professionalmedian $1,585 · 10th to 90th $832 to $5,495
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 $1,000.00 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,000.00 | $1,819.70 | $2,511.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,187.76 Typical High $2,398.83 | Facility | TC · Technical part | $1,862.09 | $2,187.76 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $371.54 | Professional | 26 · Professional part | $123.03 | $199.53 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,412.54 Typical High $2,398.83 | Professional | TC · Technical part | $1,122.02 | $1,412.54 | $2,398.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,348.96 Typical High $3,090.30 | Professional | None (both parts) | $1,023.29 | $1,348.96 | $3,090.30 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $120.23 | $190.55 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,819.70 Typical High $3,162.28 | Professional | TC · Technical part | $1,202.26 | $1,819.70 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $4,073.80 | Facility | None | $1,000.00 | $1,288.25 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $398.11 | $758.58 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $56.23 | $109.65 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $660.69 Typical High $1,412.54 | Professional | TC · Technical part | $346.74 | $660.69 | $1,412.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $9,549.93 Typical High $9,549.93 | Professional | None (both parts) | $5,495.41 | $9,549.93 | $9,549.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $3,235.94 Typical High $3,235.94 | Professional | 26 · Professional part | $2,137.96 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,897.79 Median $7,585.78 Typical High $7,585.78 | Professional | TC · Technical part | $4,897.79 | $7,585.78 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $3,981.07 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $89.13 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,548.82 Typical High $3,801.89 | Professional | TC · Technical part | $1,230.27 | $1,548.82 | $3,801.89 |
6 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 Facility Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,202.26 | Facility | 52 · Reduced service | $933.25 | $1,174.90 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $489.78 | Facility | 53 · Discontinued | $371.54 | $467.74 | $489.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,513.56 Median $1,862.09 Typical High $1,949.84 | Facility | FX · Film X-ray | $1,513.56 | $1,862.09 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $794.33 Typical High $1,096.48 | Professional | 52 · Reduced service | $724.44 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $323.59 Typical High $446.68 | Professional | 53 · Discontinued | $288.40 | $323.59 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,288.25 Median $1,288.25 Typical High $1,949.84 | Professional | FX · Film X-ray | $1,288.25 | $1,288.25 | $1,949.84 |
Where Tennessee sits
The same service costs 3.6 times more in Nebraska than in Montana. 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
$1,585
NE $3,162MT $871
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.