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 $457.09 Median $1,513.56 Typical High $2,454.71 | Facility | None | $457.09 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $416.87 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $87.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $323.59 | $478.63 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $4,677.35 | Facility | None | $1,071.52 | $1,737.80 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $104.71 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $104.71 | $371.54 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $1,148.15 | Facility | None | $338.84 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $588.84 Typical High $831.76 | Professional | None (both parts) | $380.19 | $588.84 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $467.74 Typical High $660.69 | Professional | TC · Technical part | $295.12 | $467.74 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $1,905.46 | Professional | None | $398.11 | $602.56 | $1,905.46 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $467.74 | Professional | 26 · Professional part | $91.20 | $125.89 | $467.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $1,513.56 | Professional | TC · Technical part | $323.59 | $478.63 | $1,513.56 |
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 $446.68 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $446.68 | $457.09 | $489.78 |
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 $1,862.09 Median $1,862.09 Typical High $2,089.30 | Facility | None | $1,862.09 | $1,862.09 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $645.65 Typical High $912.01 | Professional | None (both parts) | $436.52 | $645.65 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $102.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $549.54 Typical High $758.58 | Professional | TC · Technical part | $354.81 | $549.54 | $758.58 |
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 $204.17 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | FX · Film X-ray | $331.13 | $331.13 | $363.08 |
Where Illinois sits
The same service costs 5.5 times more in Wyoming 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· 34th of 51
$525
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.