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 $251.19 Median $1,096.48 Typical High $2,137.96 | Facility | None | $251.19 | $1,096.48 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $177.83 | Facility | 26 · Professional part | $69.18 | $107.15 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $489.78 | Facility | TC · Technical part | $177.83 | $257.04 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $251.19 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $70.79 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $199.53 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,380.38 Typical High $2,570.40 | Facility | None | $346.74 | $1,380.38 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $81.28 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $81.28 | $263.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $426.58 Typical High $1,096.48 | Facility | None | $186.21 | $426.58 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $229.09 | $416.87 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $162.18 | $302.00 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $1,949.84 | Professional | None | $245.47 | $363.08 | $1,949.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $588.84 | Professional | 26 · Professional part | $70.79 | $97.72 | $588.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $1,412.54 | Professional | TC · Technical part | $181.97 | $263.03 | $1,412.54 |
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 $269.15 Median $275.42 Typical High $295.12 | Professional | None (both parts) | $269.15 | $275.42 | $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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $263.03 | $467.74 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $346.74 | $537.03 |
3 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 $125.89 Median $125.89 Typical High $199.53 | Professional | 52 · Reduced service | $125.89 | $125.89 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | 53 · Discontinued | $50.12 | $50.12 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | FX · Film X-ray | $199.53 | $199.53 | $251.19 |
Where Illinois sits
The same service costs 5.8 times more in Wyoming 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
$324
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.