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 $186.21 Median $831.76 Typical High $1,737.80 | Facility | None | $186.21 | $831.76 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $162.18 | Facility | 26 · Professional part | $61.66 | $95.50 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $346.74 | Facility | TC · Technical part | $117.49 | $177.83 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $177.83 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $125.89 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $83.18 | $85.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $870.96 Typical High $1,949.84 | Facility | None | $251.19 | $870.96 | $1,949.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $74.13 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $74.13 | $199.53 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $309.03 Typical High $645.65 | Facility | None | $128.82 | $309.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $173.78 | $295.12 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $69.18 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $199.53 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $1,258.93 | Professional | None | $190.55 | $275.42 | $1,258.93 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $467.74 | Professional | 26 · Professional part | $64.57 | $89.13 | $467.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $812.83 | Professional | TC · Technical part | $125.89 | $186.21 | $812.83 |
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 $204.17 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $204.17 | $208.93 | $223.87 |
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 $199.53 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $199.53 | $316.23 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $72.44 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $234.42 | $331.13 |
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 $89.13 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $37.15 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | CT · Older CT scanner | $151.36 | $158.49 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $144.54 | $147.91 | $147.91 |
Where Illinois sits
The same service costs 5.5 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· 35th of 51
$245
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.