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 $162.18 Median $467.74 Typical High $1,513.56 | Facility | None | $162.18 | $467.74 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $138.04 | Facility | 26 · Professional part | $54.95 | $77.62 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $302.00 | Facility | TC · Technical part | $97.72 | $138.04 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $354.81 | Professional | None (both parts) | $162.18 | $165.96 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $57.54 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $109.65 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $125.89 | $125.89 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $66.07 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $812.83 Typical High $1,548.82 | Facility | None | $251.19 | $812.83 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $69.18 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $69.18 | $169.82 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $645.65 | Facility | None | $114.82 | $302.00 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $154.88 | $251.19 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $74.13 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $173.78 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $1,174.90 | Professional | None | $169.82 | $245.47 | $1,174.90 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $436.52 | Professional | 26 · Professional part | $58.88 | $87.10 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $741.31 | Professional | TC · Technical part | $112.20 | $162.18 | $741.31 |
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 $181.97 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $181.97 | $186.21 | $199.53 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $169.82 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $72.44 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $190.55 | $295.12 |
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 $79.43 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $33.11 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $141.25 Typical High $144.54 | Professional | CT · Older CT scanner | $138.04 | $141.25 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $131.83 Typical High $138.04 | Professional | FX · Film X-ray | $128.82 | $131.83 | $138.04 |
Where Illinois sits
The same service costs 5.9 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· 37th of 51
$219
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.