How much rates vary
Facilitymedian $170 · 10th to 90th $126 to $251Professionalmedian $100 · 10th to 90th $62 to $501
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $61.66 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | 26 · Professional part | $6.46 | $6.46 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $57.54 | $91.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $61.66 | $79.43 | $186.21 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $8.91 | $12.59 | $20.89 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $102.33 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $169.82 Typical High $251.19 | Facility | None | $125.89 | $169.82 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $54.95 | $102.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $6.31 | $11.48 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $48.98 | $89.13 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $501.19 | $501.19 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $151.36 | $154.88 | $154.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $416.87 | $416.87 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $70.79 | $91.20 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $11.48 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $81.28 | $154.88 |
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 $30.90 Median $30.90 Typical High $45.71 | Professional | 52 · Reduced service | $30.90 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $18.20 | Professional | 53 · Discontinued | $12.30 | $12.30 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | FX · Film X-ray | $48.98 | $48.98 | $72.44 |
Where Tennessee sits
The same service costs 4.6 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· 15th of 51
$115
AK $275KY $60.26
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.