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 $1,584.89 Typical High $2,691.53 | Facility | None | $389.05 | $1,584.89 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $251.19 | $251.19 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $158.49 | $173.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $186.21 | $186.21 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $223.87 Median $2,570.40 Typical High $5,623.41 | Facility | None | $223.87 | $2,570.40 | $5,623.41 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $213.80 Median $575.44 Typical High $3,235.94 | Professional | None (both parts) | $213.80 | $575.44 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,951.21 Typical High $4,897.79 | Facility | None | $1,096.48 | $2,951.21 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,445.44 Typical High $2,344.23 | Professional | None (both parts) | $870.96 | $1,445.44 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $186.21 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,288.25 Typical High $2,089.30 | Professional | TC · Technical part | $691.83 | $1,288.25 | $2,089.30 |
Hally Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $5,128.61 | Professional | None | $1,258.93 | $1,905.46 | $5,128.61 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $257.04 Typical High $2,238.72 | Professional | 26 · Professional part | $181.97 | $257.04 | $2,238.72 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,548.82 Typical High $3,019.95 | Professional | TC · Technical part | $1,122.02 | $1,548.82 | $3,019.95 |
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 $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,659.59 |
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 $346.74 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $346.74 | $478.63 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $194.98 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $263.03 | $407.38 |
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 $194.98 | Professional | 52 · Reduced service | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $50.12 | $77.62 |
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 13.5 times more in Wyoming than in Washington. 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· 11th of 51
$871
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.