How much rates vary
Facilitymedian $871 · 10th to 90th $234 to $2,570Professionalmedian $263 · 10th to 90th $148 to $617
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 $218.78 Median $478.63 Typical High $2,089.30 | Facility | None | $218.78 | $478.63 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $173.78 | Facility | 26 · Professional part | $75.86 | $97.72 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $338.84 | Facility | TC · Technical part | $131.83 | $181.97 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $208.93 | $234.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $87.10 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $147.91 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $141.25 | $151.36 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $57.54 | $95.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,412.54 Typical High $3,311.31 | Facility | None | $346.74 | $1,412.54 | $3,311.31 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $91.20 | $229.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $354.81 Typical High $1,096.48 | Facility | None | $141.25 | $354.81 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $194.98 | $363.08 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $85.11 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $229.09 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $2,137.96 | Professional | None | $208.93 | $309.03 | $2,137.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $407.38 | Professional | 26 · Professional part | $77.62 | $109.65 | $407.38 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $1,548.82 | Professional | TC · Technical part | $138.04 | $199.53 | $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 $229.09 Median $234.42 Typical High $251.19 | Professional | None (both parts) | $229.09 | $234.42 | $251.19 |
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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $218.78 | $389.05 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $89.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $257.04 | $512.86 |
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 $104.71 Median $104.71 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $41.69 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $169.82 | $213.80 |
Where Illinois sits
The same service costs 24.0 times more in Vermont 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· 39th of 51
$275
VT $2,951UT $123
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.