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 $38.02 Median $64.57 Typical High $134.90 | Facility | None | $38.02 | $64.57 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $16.98 Typical High $32.36 | Facility | 26 · Professional part | $10.23 | $16.98 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $45.71 Typical High $100.00 | Facility | TC · Technical part | $27.54 | $45.71 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $38.02 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $11.22 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $47.86 | Professional | TC · Technical part | $27.54 | $30.90 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $34.67 | Professional | None (both parts) | $29.51 | $33.88 | $34.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $398.11 | Facility | None | $100.00 | $151.36 | $398.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $14.79 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $14.79 | $51.29 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $309.03 | Facility | None | $44.67 | $95.50 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $38.90 | $53.70 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $13.18 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $41.69 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $204.17 | Professional | None | $48.98 | $69.18 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $67.61 | Professional | 26 · Professional part | $12.88 | $18.20 | $67.61 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $141.25 | Professional | TC · Technical part | $36.31 | $50.12 | $141.25 |
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 $52.48 Median $53.70 Typical High $58.88 | Professional | None (both parts) | $52.48 | $53.70 | $58.88 |
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 $41.69 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $41.69 | $51.29 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $13.18 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $38.02 | $57.54 |
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 $18.62 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.51 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $30.20 | $33.88 | $33.88 |
Where Illinois sits
The same service costs 3.9 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· 29th of 51
$52.48
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.