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 $263.03 Median $457.09 Typical High $1,479.11 | Facility | None | $263.03 | $457.09 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $169.82 | Facility | 26 · Professional part | $87.10 | $117.49 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $457.09 | Facility | TC · Technical part | $173.78 | $239.88 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $269.15 | $302.00 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $91.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $199.53 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $208.93 | $208.93 | $239.88 |
Ambetter 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 |
BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,288.25 Typical High $2,884.03 | Facility | None | $251.19 | $1,288.25 | $2,884.03 |
BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $112.20 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $776.25 | Facility | None | $223.87 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $288.40 | $446.68 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $107.15 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $309.03 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $1,778.28 | Professional | None | $302.00 | $457.09 | $1,778.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $478.63 | Professional | 26 · Professional part | $93.33 | $134.90 | $478.63 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $1,258.93 | Professional | TC · Technical part | $213.80 | $323.59 | $1,258.93 |
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 $338.84 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $338.84 | $346.74 | $371.54 |
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 $302.00 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $302.00 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $112.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $354.81 | $524.81 |
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 $134.90 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $63.10 | Professional | 53 · Discontinued | $53.70 | $56.23 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $213.80 | $223.87 | $223.87 |
Where Illinois sits
The same service costs 12.3 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· 29th of 51
$389
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.