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 $389.05 Median $1,047.13 Typical High $2,137.96 | Facility | None | $389.05 | $1,047.13 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $239.88 | Facility | 26 · Professional part | $91.20 | $138.04 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $794.33 | Facility | TC · Technical part | $288.40 | $416.87 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $380.19 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $102.33 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $309.03 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $2,344.23 Typical High $5,128.61 | Facility | None | $501.19 | $2,344.23 | $5,128.61 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $109.65 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $109.65 | $354.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $691.83 Typical High $1,288.25 | Facility | None | $302.00 | $691.83 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $354.81 | $645.65 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $102.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $977.24 | Professional | TC · Technical part | $263.03 | $489.78 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $3,090.30 | Professional | None | $371.54 | $562.34 | $3,090.30 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $851.14 | Professional | 26 · Professional part | $93.33 | $131.83 | $851.14 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $2,290.87 | Professional | TC · Technical part | $295.12 | $426.58 | $2,290.87 |
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 $416.87 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $416.87 | $426.58 | $457.09 |
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 $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $691.83 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $102.33 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $524.81 Typical High $1,000.00 | Professional | TC · Technical part | $302.00 | $524.81 | $1,000.00 |
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 $190.55 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | FX · Film X-ray | $302.00 | $302.00 | $338.84 |
Where Illinois sits
The same service costs 5.6 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· 38th of 51
$479
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.