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 $165.96 Median $275.42 Typical High $1,479.11 | Facility | None | $165.96 | $275.42 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $102.33 | Facility | 26 · Professional part | $56.23 | $74.13 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $288.40 | Facility | TC · Technical part | $109.65 | $151.36 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $177.83 | $190.55 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $58.88 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $123.03 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $75.86 | $123.03 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $57.54 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $912.01 Typical High $2,187.76 | Facility | None | $251.19 | $912.01 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $70.79 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $70.79 | $194.98 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $309.03 Typical High $645.65 | Facility | None | $128.82 | $309.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $169.82 | $288.40 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $70.79 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $194.98 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $1,318.26 | Professional | None | $181.97 | $269.15 | $1,318.26 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $331.13 | Professional | 26 · Professional part | $60.26 | $85.11 | $331.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $891.25 | Professional | TC · Technical part | $125.89 | $181.97 | $891.25 |
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 $199.53 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $199.53 | $204.17 | $218.78 |
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 $199.53 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $199.53 | $316.23 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $74.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $229.09 | $331.13 |
4 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 $87.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $35.48 | $36.31 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | CT · Older CT scanner | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $141.25 | $147.91 | $147.91 |
Where Illinois sits
The same service costs 5.9 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· 40th of 51
$240
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.