How much rates vary
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 $134.90 Median $213.80 Typical High $1,479.11 | Facility | None | $134.90 | $213.80 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $79.43 | Facility | 26 · Professional part | $41.69 | $56.23 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $245.47 | Facility | TC · Technical part | $85.11 | $120.23 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $134.90 | $147.91 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $43.65 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $97.72 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $95.50 | $104.71 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $41.69 | $57.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $707.95 Typical High $1,659.59 | Facility | None | $151.36 | $707.95 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $52.48 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $52.48 | $141.25 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $229.09 Typical High $645.65 | Facility | None | $100.00 | $229.09 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $131.83 | $208.93 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $61.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $147.91 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $954.99 | Professional | None | $144.54 | $208.93 | $954.99 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $309.03 | Professional | 26 · Professional part | $44.67 | $67.61 | $309.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $524.81 | Professional | TC · Technical part | $91.20 | $141.25 | $524.81 |
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 $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
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 $141.25 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $141.25 | $234.42 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $60.26 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $162.18 | $245.47 |
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 $67.61 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $28.18 | $32.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $120.23 Typical High $123.03 | Professional | CT · Older CT scanner | $114.82 | $120.23 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $112.20 Typical High $114.82 | Professional | FX · Film X-ray | $107.15 | $112.20 | $114.82 |
Where Illinois sits
The same service costs 4.9 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· 41st of 51
$174
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.