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 $257.04 Median $512.86 Typical High $1,479.11 | Facility | None | $257.04 | $512.86 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $162.18 | Facility | 26 · Professional part | $83.18 | $112.20 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $501.19 | Facility | TC · Technical part | $173.78 | $239.88 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $263.03 | $295.12 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $89.13 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $199.53 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $77.62 | $102.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,513.56 Typical High $2,884.03 | Facility | None | $251.19 | $1,513.56 | $2,884.03 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $104.71 | $295.12 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $776.25 | Facility | None | $223.87 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $281.84 | $436.52 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $100.00 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $316.23 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $1,778.28 | Professional | None | $295.12 | $446.68 | $1,778.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $562.34 | Professional | 26 · Professional part | $91.20 | $128.82 | $562.34 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $1,348.96 | Professional | TC · Technical part | $218.78 | $316.23 | $1,348.96 |
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 $331.13 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $331.13 | $338.84 | $363.08 |
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 $295.12 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $295.12 | $501.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $102.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $616.60 | Professional | TC · Technical part | $208.93 | $354.81 | $616.60 |
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 $131.83 Median $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $54.95 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $213.80 | $218.78 | $218.78 |
Where Illinois sits
The same service costs 7.6 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· 34th of 51
$363
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.