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 $234.42 Median $676.08 Typical High $1,548.82 | Facility | None | $234.42 | $676.08 | $1,548.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $194.98 | Facility | 26 · Professional part | $77.62 | $107.15 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $446.68 | Facility | TC · Technical part | $141.25 | $229.09 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $234.42 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $81.28 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $162.18 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $93.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,000.00 Typical High $2,187.76 | Facility | None | $251.19 | $1,000.00 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $97.72 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $97.72 | $239.88 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $380.19 Typical High $645.65 | Facility | None | $165.96 | $380.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $229.09 | $354.81 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $85.11 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $245.47 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $1,412.54 | Professional | None | $239.88 | $363.08 | $1,412.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $549.54 | Professional | 26 · Professional part | $85.11 | $117.49 | $549.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $851.14 | Professional | TC · Technical part | $162.18 | $234.42 | $851.14 |
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 $263.03 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $263.03 | $269.15 | $295.12 |
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 $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 $245.47 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $245.47 | $371.54 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $87.10 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $275.42 | $389.05 |
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 $117.49 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $48.98 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | CT · Older CT scanner | $199.53 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $186.21 | $194.98 | $194.98 |
Where Illinois sits
The same service costs 6.3 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· 33rd of 51
$309
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.