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 $363.08 Median $851.14 Typical High $2,137.96 | Facility | None | $363.08 | $851.14 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $177.83 Typical High $281.84 | Facility | 26 · Professional part | $117.49 | $177.83 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $645.65 | Facility | TC · Technical part | $234.42 | $331.13 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $354.81 | $398.11 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $114.82 | $123.03 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $263.03 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $295.12 | Professional | None (both parts) | $213.80 | $288.40 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $134.90 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $2,344.23 Typical High $4,677.35 | Facility | None | $501.19 | $2,344.23 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $141.25 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $141.25 | $380.19 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,412.54 | Facility | None | $245.47 | $588.84 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $331.13 | $549.54 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $147.91 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $213.80 | $371.54 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $3,311.31 | Professional | None | $346.74 | $524.81 | $3,311.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $707.95 | Professional | 26 · Professional part | $120.23 | $173.78 | $707.95 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $2,511.89 | Professional | TC · Technical part | $239.88 | $346.74 | $2,511.89 |
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 $389.05 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $389.05 | $389.05 | $426.58 |
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 $371.54 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $371.54 | $660.69 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $151.36 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $457.09 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $457.09 | $933.25 |
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 $177.83 Median $177.83 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | FX · Film X-ray | $281.84 | $281.84 | $316.23 |
Where Illinois sits
The same service costs 6.5 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· 38th of 51
$447
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.