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 $52.48 Median $69.18 Typical High $186.21 | Facility | None | $52.48 | $69.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $52.48 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $16.98 | Professional | 26 · Professional part | $15.14 | $16.22 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $37.15 | $42.66 | $42.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $100.00 Median $295.12 Typical High $851.14 | Facility | None | $100.00 | $295.12 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $416.87 | Facility | None | $52.48 | $120.23 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $48.98 | $63.10 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $15.14 | $19.05 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $32.36 | $43.65 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $257.04 | Professional | None | $61.66 | $91.20 | $257.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $95.50 | Professional | 26 · Professional part | $18.62 | $26.30 | $95.50 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $42.66 | $64.57 | $169.82 |
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 $72.44 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $72.44 | $74.13 | $79.43 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $48.98 | $63.10 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $16.98 | $20.42 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $32.36 | $43.65 | $72.44 |
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 $26.30 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $26.30 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.47 | $11.75 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | FX · Film X-ray | $41.69 | $46.77 | $46.77 |
Where Illinois sits
The same service costs 5.6 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· 30th of 51
$63.10
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.