How much rates vary
Facilitymedian $81 · 10th to 90th $33 to $234Professionalmedian $33 · 10th to 90th $13 to $60
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 $28.18 Median $45.71 Typical High $93.33 | Facility | None | $28.18 | $45.71 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $22.91 | Facility | 26 · Professional part | $7.94 | $10.96 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $74.13 | Facility | TC · Technical part | $19.95 | $32.36 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $25.70 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.32 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $22.91 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
BCBS Illinois Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $288.40 | Facility | None | $54.95 | $112.20 | $288.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $11.48 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $11.48 | $38.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $70.79 Typical High $229.09 | Facility | None | $30.90 | $70.79 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $26.30 | $35.48 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $10.00 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $24.55 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $154.88 | Professional | None | $33.88 | $50.12 | $154.88 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $102.33 | Professional | 26 · Professional part | $9.77 | $13.49 | $102.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $20.42 | $33.88 | $79.43 |
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 $38.90 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $38.90 | $39.81 | $43.65 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $28.18 | $34.67 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.00 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $24.55 | $41.69 |
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 $13.80 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.80 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $25.12 | $25.12 |
Where Illinois sits
The same service costs 4.1 times more in Alaska than in New York. 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· 34th of 51
$34.67
AK $95.50NY $23.44
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.