How much rates vary
Facilitymedian $62 · 10th to 90th $17 to $151Professionalmedian $26 · 10th to 90th $15 to $40
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 $16.98 Median $28.84 Typical High $61.66 | Facility | None | $16.98 | $28.84 | $61.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $28.84 | Facility | 26 · Professional part | $9.12 | $13.80 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $13.80 Typical High $29.51 | Facility | TC · Technical part | $7.94 | $13.80 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $17.38 Typical High $29.51 | Professional | None (both parts) | $15.85 | $17.38 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $8.71 | $9.33 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $8.13 Typical High $14.13 | Professional | TC · Technical part | $7.08 | $8.13 | $14.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $158.49 | Facility | None | $51.29 | $95.50 | $158.49 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $13.18 Median $23.44 Typical High $44.67 | Professional | None (both parts) | $13.18 | $23.44 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.12 Typical High $83.18 | Facility | None | $15.14 | $25.12 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $30.90 Typical High $38.90 | Professional | None (both parts) | $17.78 | $30.90 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $11.48 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $15.14 Typical High $26.30 | Professional | TC · Technical part | $8.91 | $15.14 | $26.30 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $151.36 | Professional | None | $21.38 | $30.90 | $151.36 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $104.71 | Professional | 26 · Professional part | $11.22 | $15.49 | $104.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $14.79 Typical High $83.18 | Professional | TC · Technical part | $10.00 | $14.79 | $83.18 |
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 $22.91 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $22.91 | $22.91 | $25.12 |
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 $19.50 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $19.50 | $25.70 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $12.30 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $12.02 Typical High $21.38 | Professional | TC · Technical part | $8.71 | $12.02 | $21.38 |
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 $7.76 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.47 | $3.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | FX · Film X-ray | $12.59 | $13.80 | $13.80 |
Where Illinois sits
The same service costs 3.6 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· 25th of 51
$25.70
AK $56.23FL $15.49
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.