How much rates vary
Facilitymedian $100 · 10th to 90th $35 to $251Professionalmedian $36 · 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 $27.54 Median $36.31 Typical High $100.00 | Facility | None | $27.54 | $36.31 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $47.86 | Professional | None (both parts) | $27.54 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $7.94 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $22.91 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $295.12 | Facility | None | $67.61 | $117.49 | $295.12 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.96 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $10.96 | $33.88 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $223.87 | Facility | None | $33.11 | $69.18 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $27.54 | $38.02 | $53.70 |
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 $21.38 Median $28.18 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $28.18 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $120.23 | Professional | None | $36.31 | $50.12 | $120.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $38.90 | Professional | 26 · Professional part | $9.33 | $13.18 | $38.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $36.31 | $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 $38.02 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $38.02 | $38.90 | $42.66 |
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 $29.51 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $29.51 | $37.15 | $58.88 |
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 $21.38 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $26.30 | $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 $15.85 | Professional | 52 · Reduced service | $13.80 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.17 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.17 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | FX · Film X-ray | $21.88 | $24.55 | $24.55 |
Where Illinois sits
The same service costs 3.5 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· 28th of 51
$38.02
AK $87.10FL $25.12
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.