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 $426.58 Median $1,096.48 Typical High $2,137.96 | Facility | None | $426.58 | $1,096.48 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $239.88 | Facility | 26 · Professional part | $97.72 | $141.25 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $575.44 | Facility | TC · Technical part | $208.93 | $302.00 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $302.00 | $331.13 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $208.93 | $208.93 | $371.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $3,019.95 | Facility | None | $501.19 | $1,513.56 | $3,019.95 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $107.15 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $107.15 | $316.23 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $575.44 Typical High $1,096.48 | Facility | None | $218.78 | $575.44 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $281.84 | $478.63 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $109.65 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $331.13 | $602.56 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $2,290.87 | Professional | None | $295.12 | $446.68 | $2,290.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $776.25 | Professional | 26 · Professional part | $93.33 | $134.90 | $776.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $1,548.82 | Professional | TC · Technical part | $213.80 | $309.03 | $1,548.82 |
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 $323.59 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $323.59 | $331.13 | $363.08 |
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 $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $316.23 | $537.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $112.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $398.11 | $588.84 |
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 $151.36 Median $151.36 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | 53 · Discontinued | $60.26 | $60.26 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | FX · Film X-ray | $239.88 | $239.88 | $295.12 |
Where Illinois sits
The same service costs 5.8 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· 41st of 51
$389
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.