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 $1,513.56 Typical High $2,454.71 | Facility | None | $426.58 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $380.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $91.20 | $91.20 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $288.40 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $288.40 | $380.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $4,466.84 | Facility | None | $1,202.26 | $2,137.96 | $4,466.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $114.82 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $114.82 | $389.05 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $676.08 Typical High $1,096.48 | Facility | None | $302.00 | $676.08 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $346.74 | $549.54 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $416.87 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,778.28 | Professional | None | $363.08 | $549.54 | $1,778.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $478.63 | Professional | 26 · Professional part | $93.33 | $131.83 | $478.63 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $1,348.96 | Professional | TC · Technical part | $288.40 | $416.87 | $1,348.96 |
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 $407.38 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $407.38 | $416.87 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $33.11 | $33.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $398.11 | $575.44 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $102.33 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $457.09 Typical High $660.69 | Professional | TC · Technical part | $309.03 | $457.09 | $660.69 |
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 $190.55 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | FX · Film X-ray | $309.03 | $309.03 | $338.84 |
Where Illinois sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 34th of 51
$490
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.