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 $138.04 Median $346.74 Typical High $1,513.56 | Facility | None | $138.04 | $346.74 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $93.33 | Facility | 26 · Professional part | $48.98 | $69.18 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $234.42 | Facility | TC · Technical part | $81.28 | $112.20 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $138.04 | $141.25 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $48.98 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $91.20 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $87.10 | $109.65 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $42.66 | $66.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $724.44 Typical High $1,513.56 | Facility | None | $151.36 | $724.44 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $61.66 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $61.66 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $645.65 | Facility | None | $95.50 | $218.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $131.83 | $234.42 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $66.07 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $158.49 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $1,023.29 | Professional | None | $144.54 | $208.93 | $1,023.29 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $323.59 | Professional | 26 · Professional part | $51.29 | $77.62 | $323.59 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $741.31 | Professional | TC · Technical part | $93.33 | $134.90 | $741.31 |
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 $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
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 $158.49 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $158.49 | $257.04 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $181.97 | $263.03 |
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 $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $117.49 Median $120.23 Typical High $125.89 | Professional | CT · Older CT scanner | $117.49 | $120.23 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $117.49 | Professional | FX · Film X-ray | $109.65 | $112.20 | $117.49 |
Where Illinois sits
The same service costs 5.0 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· 36th of 51
$186
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.