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 $257.04 Median $691.83 Typical High $2,137.96 | Facility | None | $257.04 | $691.83 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $173.78 | Facility | 26 · Professional part | $74.13 | $112.20 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $489.78 | Facility | TC · Technical part | $177.83 | $251.19 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $251.19 | $281.84 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $85.11 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $194.98 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $173.78 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $77.62 | $95.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,412.54 Typical High $3,019.95 | Facility | None | $346.74 | $1,412.54 | $3,019.95 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $87.10 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $87.10 | $269.15 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $416.87 Typical High $1,096.48 | Facility | None | $186.21 | $416.87 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $234.42 | $416.87 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $83.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $309.03 | $512.86 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $2,041.74 | Professional | None | $245.47 | $371.54 | $2,041.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $436.52 | Professional | 26 · Professional part | $75.86 | $107.15 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $1,479.11 | Professional | TC · Technical part | $177.83 | $257.04 | $1,479.11 |
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 $275.42 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $275.42 | $281.84 | $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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $269.15 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $87.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $346.74 | $537.03 |
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 $125.89 Median $125.89 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $204.17 | $257.04 |
Where Illinois sits
The same service costs 6.0 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· 41st of 51
$324
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.