How much rates vary
Facilitymedian $363 · 10th to 90th $117 to $1,122Professionalmedian $141 · 10th to 90th $79 to $251
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 $112.20 Median $190.55 Typical High $1,445.44 | Facility | None | $112.20 | $190.55 | $1,445.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $69.18 | Facility | 26 · Professional part | $41.69 | $53.70 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $169.82 | Facility | TC · Technical part | $64.57 | $87.10 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $112.20 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $42.66 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $74.13 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $81.28 | $89.13 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $35.48 | $54.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $575.44 Typical High $1,096.48 | Facility | None | $151.36 | $575.44 | $1,096.48 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $52.48 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $52.48 | $125.89 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $645.65 | Facility | None | $75.86 | $177.83 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $109.65 | $177.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $67.61 | $117.49 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $870.96 | Professional | None | $120.23 | $173.78 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $295.12 | Professional | 26 · Professional part | $44.67 | $61.66 | $295.12 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $602.56 | Professional | TC · Technical part | $74.13 | $109.65 | $602.56 |
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 $128.82 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $128.82 | $131.83 | $141.25 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $117.49 | $194.98 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $125.89 | $204.17 |
4 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 $56.23 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $23.44 | $26.92 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $95.50 Median $97.72 Typical High $102.33 | Professional | CT · Older CT scanner | $95.50 | $97.72 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $93.33 | $95.50 |
Where Illinois sits
The same service costs 20.4 times more in Vermont 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· 36th of 51
$148
VT $1,585UT $77.62
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.