How much rates vary
Facilitymedian $135 · 10th to 90th $51 to $380Professionalmedian $59 · 10th to 90th $26 to $107
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 $46.77 Median $67.61 Typical High $169.82 | Facility | None | $46.77 | $67.61 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $23.44 | Facility | 26 · Professional part | $12.02 | $16.60 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $107.15 | Facility | TC · Technical part | $35.48 | $48.98 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $45.71 | $51.29 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $11.75 | $12.88 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $33.88 | $38.02 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $38.90 | $40.74 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $11.22 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $616.60 | Facility | None | $120.23 | $162.18 | $616.60 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $17.38 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $17.38 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $380.19 | Facility | None | $45.71 | $109.65 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $87.10 | Professional | None (both parts) | $45.71 | $58.88 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $13.18 | $18.20 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $41.69 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $245.47 | Professional | None | $58.88 | $83.18 | $245.47 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.38 Typical High $89.13 | Professional | 26 · Professional part | $14.45 | $21.38 | $89.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $151.36 | Professional | TC · Technical part | $42.66 | $61.66 | $151.36 |
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 $63.10 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $63.10 | $64.57 | $70.79 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $48.98 | $60.26 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $17.78 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $42.66 | $69.18 |
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 $22.39 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $22.39 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $8.91 | $10.23 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $36.31 | $40.74 | $40.74 |
Where Illinois sits
The same service costs 4.8 times more in Alaska 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· 27th of 51
$60.26
AK $158UT $33.11
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.