How much rates vary
Facilitymedian $126 · 10th to 90th $59 to $417Professionalmedian $54 · 10th to 90th $17 to $98
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 $45.71 Median $63.10 Typical High $162.18 | Facility | None | $45.71 | $63.10 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $151.36 | Facility | TC · Technical part | $39.81 | $48.98 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $43.65 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $10.72 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $39.81 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $489.78 | Facility | None | $100.00 | $141.25 | $489.78 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $14.79 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $14.79 | $53.70 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $97.72 Typical High $389.05 | Facility | None | $53.70 | $97.72 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $87.10 | Professional | None (both parts) | $44.67 | $58.88 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $10.72 | $13.49 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $42.66 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $223.87 | Professional | None | $57.54 | $81.28 | $223.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $66.07 | Professional | 26 · Professional part | $12.59 | $17.78 | $66.07 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $61.66 | $154.88 |
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 $61.66 Median $64.57 Typical High $69.18 | Professional | None (both parts) | $61.66 | $64.57 | $69.18 |
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 $46.77 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $46.77 | $57.54 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $14.13 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $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 $22.39 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $22.39 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.00 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $35.48 | $40.74 | $40.74 |
Where Illinois sits
The same service costs 4.5 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· 29th of 51
$57.54
AK $148UT $33.11
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.