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 $204.17 Median $776.25 Typical High $1,621.81 | Facility | None | $204.17 | $776.25 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $169.82 | Facility | 26 · Professional part | $63.10 | $85.11 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $380.19 | Facility | TC · Technical part | $131.83 | $199.53 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $194.98 | $204.17 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $64.57 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $138.04 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $72.44 | $100.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,023.29 Typical High $1,862.09 | Facility | None | $251.19 | $1,023.29 | $1,862.09 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $77.62 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $77.62 | $199.53 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $645.65 | Facility | None | $144.54 | $331.13 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $190.55 | $309.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $81.28 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $213.80 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $1,318.26 | Professional | None | $199.53 | $302.00 | $1,318.26 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $501.19 | Professional | 26 · Professional part | $66.07 | $95.50 | $501.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $831.76 | Professional | TC · Technical part | $141.25 | $204.17 | $831.76 |
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 $218.78 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $218.78 | $223.87 | $245.47 |
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 $204.17 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $204.17 | $346.74 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $81.28 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $239.88 | $371.54 |
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 $97.72 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $40.74 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | CT · Older CT scanner | $165.96 | $173.78 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $154.88 | $162.18 | $162.18 |
Where Illinois sits
The same service costs 5.1 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· 35th of 51
$263
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.