How much rates vary
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 $144.54 Median $194.98 Typical High $489.78 | Facility | None | $144.54 | $194.98 | $489.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $389.05 | Facility | TC · Technical part | $107.15 | $123.03 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $144.54 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $53.70 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $93.33 | $107.15 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $794.33 Typical High $1,479.11 | Facility | None | $194.98 | $794.33 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $72.44 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $72.44 | $190.55 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $1,023.29 | Facility | None | $141.25 | $323.59 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $123.03 | $165.96 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $67.61 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $107.15 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $676.08 | Professional | None | $162.18 | $239.88 | $676.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $302.00 | Professional | 26 · Professional part | $61.66 | $87.10 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $151.36 | $398.11 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $194.98 | $199.53 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,089.30 | Facility | None | $1,862.09 | $1,862.09 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $141.25 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $107.15 | $190.55 |
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 $70.79 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $32.36 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $128.82 | $128.82 |
Where Illinois sits
The same service costs 4.3 times more in Alaska than in Utah. 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.
Illinois· 33rd of 51
$170
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.