How much rates vary
Facilitymedian $123 · 10th to 90th $85 to $200Professionalmedian $186 · 10th to 90th $83 to $1,202
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $56.23 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $33.11 | $34.67 | $54.95 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $48.98 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $48.98 | $147.91 | $281.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $112.20 | $186.21 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $66.07 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $123.03 Typical High $199.53 | Facility | None | $85.11 | $123.03 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $83.18 | $151.36 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $52.48 | $95.50 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $30.90 | $57.54 | $104.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $741.31 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $107.15 | $257.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $95.50 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $42.66 | $114.82 | $281.84 |
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 $42.66 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $17.78 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $72.44 Typical High $75.86 | Professional | FX · Film X-ray | $43.65 | $72.44 | $75.86 |
Where Tennessee sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 29th of 51
$162
NE $537NJ $115
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.