How much rates vary
Facilitymedian $95 · 10th to 90th $41 to $275Professionalmedian $38 · 10th to 90th $13 to $69
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 $32.36 Median $48.98 Typical High $104.71 | Facility | None | $32.36 | $48.98 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $14.79 | Facility | 26 · Professional part | $7.59 | $11.75 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $89.13 | Facility | TC · Technical part | $25.12 | $38.90 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $30.20 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $7.94 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $28.84 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $24.55 | $35.48 | $66.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $66.07 Median $120.23 Typical High $354.81 | Facility | None | $66.07 | $120.23 | $354.81 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.96 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $10.96 | $43.65 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $275.42 | Facility | None | $37.15 | $77.62 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $30.90 | $40.74 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $10.00 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $45.71 | Professional | TC · Technical part | $22.39 | $29.51 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $138.04 | Professional | None | $38.02 | $57.54 | $138.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $43.65 | Professional | 26 · Professional part | $9.33 | $12.88 | $43.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $93.33 | Professional | TC · Technical part | $28.84 | $42.66 | $93.33 |
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 $44.67 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $44.67 | $45.71 | $48.98 |
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 $32.36 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $32.36 | $39.81 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $10.00 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $23.44 | $29.51 | $51.29 |
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 $16.22 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $16.22 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $29.51 | $29.51 |
Where Illinois sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 32nd of 51
$40.74
AK $112FL $28.84
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.