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 $812.83 Typical High $2,137.96 | Facility | None | $363.08 | $812.83 | $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 $630.96 | Professional | None (both parts) | $354.81 | $398.11 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $120.23 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $234.42 | $257.04 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $660.69 | Professional | None (both parts) | $194.98 | $263.03 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $134.90 | $151.36 |
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 $501.19 | Professional | None (both parts) | $141.25 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,380.38 | Facility | None | $245.47 | $588.84 | $1,380.38 |
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 $97.72 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $134.90 | $199.53 |
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 $3,090.30 | Professional | None | $346.74 | $524.81 | $3,090.30 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $169.82 Typical High $724.44 | Professional | 26 · Professional part | $120.23 | $169.82 | $724.44 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $2,454.71 | Professional | TC · Technical part | $234.42 | $346.74 | $2,454.71 |
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 $380.19 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $380.19 | $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 $1,148.15 | Professional | None (both parts) | $371.54 | $660.69 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $446.68 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $446.68 | $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 6.3 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· 37th 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.