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 $28.84 Median $43.65 Typical High $93.33 | Facility | None | $28.84 | $43.65 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $24.55 | Facility | 26 · Professional part | $8.51 | $13.18 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $72.44 | Facility | TC · Technical part | $20.89 | $32.36 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $28.84 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $8.91 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $23.44 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $288.40 | Facility | None | $72.44 | $123.03 | $288.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $12.30 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $12.30 | $38.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $70.79 Typical High $229.09 | Facility | None | $30.90 | $70.79 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $29.51 | $40.74 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $8.91 | $11.48 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $29.51 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $138.04 | Professional | None | $37.15 | $51.29 | $138.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $54.95 | Professional | 26 · Professional part | $10.47 | $14.79 | $54.95 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $26.30 | $36.31 | $79.43 |
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 $39.81 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $39.81 | $39.81 | $43.65 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $31.62 | $38.90 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $11.75 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $26.30 | $41.69 |
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 $14.13 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $22.91 | $25.70 | $25.70 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 28th of 51
$38.90
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.