How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $4,074Professionalmedian $427 · 10th to 90th $174 to $1,047
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 $363.08 Median $776.25 Typical High $2,089.30 | Facility | None | $363.08 | $776.25 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $269.15 | Facility | 26 · Professional part | $117.49 | $154.88 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $588.84 | Facility | TC · Technical part | $223.87 | $323.59 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $354.81 | $389.05 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $114.82 | $123.03 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $257.04 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $234.42 | $251.19 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $93.33 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $2,454.71 Typical High $5,495.41 | Facility | None | $501.19 | $2,454.71 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $138.04 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $138.04 | $371.54 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,412.54 | Facility | None | $245.47 | $588.84 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $549.54 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $134.90 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $213.80 | $371.54 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $3,388.44 | Professional | None | $338.84 | $524.81 | $3,388.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $794.33 | Professional | 26 · Professional part | $120.23 | $169.82 | $794.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $2,398.83 | Professional | TC · Technical part | $234.42 | $346.74 | $2,398.83 |
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 $380.19 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $380.19 | $389.05 | $426.58 |
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 $371.54 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $371.54 | $660.69 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $446.68 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $446.68 | $933.25 |
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 $177.83 Median $177.83 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | FX · Film X-ray | $281.84 | $281.84 | $316.23 |
Where Illinois sits
The same service costs 6.6 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· 38th of 51
$447
VT $1,349UT $204
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.