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 $346.74 Median $977.24 Typical High $1,737.80 | Facility | None | $346.74 | $977.24 | $1,737.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $741.31 | Facility | TC · Technical part | $186.21 | $239.88 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $269.15 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $77.62 | $91.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $186.21 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,258.93 Typical High $3,162.28 | Facility | None | $251.19 | $1,258.93 | $3,162.28 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $109.65 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $109.65 | $323.59 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $870.96 | Facility | None | $251.19 | $562.34 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $309.03 | $457.09 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $218.78 | $338.84 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $1,819.70 | Professional | None | $323.59 | $501.19 | $1,819.70 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $616.60 | Professional | 26 · Professional part | $95.50 | $131.83 | $616.60 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $1,202.26 | Professional | TC · Technical part | $245.47 | $354.81 | $1,202.26 |
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 $363.08 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $363.08 | $371.54 | $407.38 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $316.23 | $489.78 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $107.15 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $389.05 | $524.81 |
4 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 $134.90 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $53.70 | $54.95 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $213.80 | $223.87 | $223.87 |
Where Illinois sits
The same service costs 5.8 times more in Alaska 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· 31st of 51
$398
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.