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 $239.88 Median $549.54 Typical High $1,513.56 | Facility | None | $239.88 | $549.54 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $141.25 | Facility | 26 · Professional part | $56.23 | $79.43 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $524.81 | Facility | TC · Technical part | $165.96 | $234.42 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $234.42 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $58.88 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $186.21 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $173.78 | $186.21 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $38.90 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $954.99 Typical High $2,951.21 | Facility | None | $251.19 | $954.99 | $2,951.21 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $70.79 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $70.79 | $234.42 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $676.08 | Facility | None | $199.53 | $407.38 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $229.09 | $354.81 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $66.07 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $269.15 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $1,174.90 | Professional | None | $245.47 | $371.54 | $1,174.90 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $338.84 | Professional | 26 · Professional part | $60.26 | $85.11 | $338.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $851.14 | Professional | TC · Technical part | $190.55 | $281.84 | $851.14 |
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 $269.15 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $269.15 | $275.42 | $302.00 |
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 $234.42 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $234.42 | $331.13 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $257.04 | $380.19 |
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 $117.49 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $48.98 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | CT · Older CT scanner | $199.53 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $186.21 | $194.98 | $194.98 |
Where Illinois sits
The same service costs 4.4 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· 29th of 51
$295
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.