How much rates vary
Facilitymedian $1,000 · 10th to 90th $437 to $3,090Professionalmedian $447 · 10th to 90th $155 to $1,047
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 $380.19 Median $851.14 Typical High $2,137.96 | Facility | None | $380.19 | $851.14 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $269.15 | Facility | 26 · Professional part | $112.20 | $169.82 | $269.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $707.95 | Facility | TC · Technical part | $257.04 | $371.54 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $371.54 | $416.87 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $120.23 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $257.04 | $288.40 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $245.47 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $97.72 | $144.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $3,890.45 | Facility | None | $501.19 | $2,137.96 | $3,890.45 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $134.90 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $134.90 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $616.60 Typical High $1,380.38 | Facility | None | $269.15 | $616.60 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $616.60 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $128.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $1,096.48 | Professional | TC · Technical part | $234.42 | $426.58 | $1,096.48 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $3,630.78 | Professional | None | $363.08 | $549.54 | $3,630.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $602.56 | Professional | 26 · Professional part | $117.49 | $162.18 | $602.56 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $2,630.27 | Professional | TC · Technical part | $263.03 | $380.19 | $2,630.27 |
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 $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $707.95 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $131.83 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $281.84 | $501.19 | $912.01 |
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 $186.21 Median $186.21 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $331.13 | Professional | FX · Film X-ray | $295.12 | $295.12 | $331.13 |
Where Illinois sits
The same service costs 5.8 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· 39th of 51
$468
WY $1,349UT $234
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.