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 $40.74 Median $64.57 Typical High $134.90 | Facility | None | $40.74 | $64.57 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $36.31 | Facility | 26 · Professional part | $11.48 | $18.62 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $95.50 | Facility | TC · Technical part | $28.84 | $45.71 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $36.31 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $11.48 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $28.84 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $28.84 | $36.31 | $53.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $380.19 | Facility | None | $81.28 | $151.36 | $380.19 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $16.60 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $16.60 | $51.29 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $87.10 Typical High $281.84 | Facility | None | $42.66 | $87.10 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $36.31 | $47.86 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $13.49 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $34.67 | $48.98 |
Hally Health Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $194.98 | Professional | None | $45.71 | $64.57 | $194.98 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $81.28 | Professional | 26 · Professional part | $13.18 | $18.62 | $81.28 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $131.83 | Professional | TC · Technical part | $31.62 | $44.67 | $131.83 |
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 $50.12 Median $50.12 Typical High $54.95 | Professional | None (both parts) | $50.12 | $50.12 | $54.95 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $38.02 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $35.48 | $52.48 |
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 $17.78 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $8.13 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $28.84 | $32.36 | $32.36 |
Where Illinois sits
The same service costs 3.7 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· 31st of 51
$47.86
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.