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 $645.65 Median $1,584.89 Typical High $2,691.53 | Facility | None | $645.65 | $1,584.89 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $512.86 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $181.97 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $524.81 Typical High $691.83 | Professional | TC · Technical part | $457.09 | $524.81 | $691.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $5,128.61 | Facility | None | $707.95 | $1,905.46 | $5,128.61 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $199.53 Median $691.83 Typical High $3,162.28 | Professional | None (both parts) | $199.53 | $691.83 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $2,187.76 Typical High $4,677.35 | Facility | None | $354.81 | $2,187.76 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,380.38 Typical High $2,290.87 | Professional | None (both parts) | $776.25 | $1,380.38 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $275.42 | Professional | 26 · Professional part | $134.90 | $177.83 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,230.27 Typical High $2,041.74 | Professional | TC · Technical part | $616.60 | $1,230.27 | $2,041.74 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,047.13 | Professional | None | $512.86 | $724.44 | $1,047.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $239.88 Typical High $933.25 | Professional | 26 · Professional part | $165.96 | $239.88 | $933.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $524.81 Typical High $954.99 | Professional | TC · Technical part | $338.84 | $524.81 | $954.99 |
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 $588.84 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $588.84 | $602.56 | $691.83 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $645.65 Typical High $1,202.26 | Professional | None (both parts) | $380.19 | $645.65 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $147.91 | $208.93 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $478.63 Typical High $870.96 | Professional | TC · Technical part | $213.80 | $478.63 | $870.96 |
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 $263.03 Median $302.00 Typical High $380.19 | Professional | 52 · Reduced service | $263.03 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $120.23 Typical High $151.36 | Professional | 53 · Discontinued | $104.71 | $120.23 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $467.74 Median $478.63 Typical High $524.81 | Professional | FX · Film X-ray | $467.74 | $478.63 | $524.81 |
Where Illinois sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 25th of 51
$776
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.