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 $31.62 Median $50.12 Typical High $104.71 | Facility | None | $31.62 | $50.12 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $23.99 | Facility | 26 · Professional part | $7.76 | $12.59 | $23.99 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $37.15 Typical High $77.62 | Facility | TC · Technical part | $23.99 | $37.15 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $26.92 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $23.99 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $251.19 | Facility | None | $66.07 | $77.62 | $251.19 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.96 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $10.96 | $39.81 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $234.42 | Facility | None | $30.90 | $72.44 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $28.18 | $36.31 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $10.00 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $25.70 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $141.25 | Professional | None | $35.48 | $51.29 | $141.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $45.71 | Professional | 26 · Professional part | $9.33 | $13.18 | $45.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $91.20 | Professional | TC · Technical part | $25.70 | $37.15 | $91.20 |
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 $39.81 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $39.81 | $40.74 | $44.67 |
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 $28.84 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $28.84 | $36.31 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $10.00 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $25.70 | $43.65 |
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 $13.80 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.62 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $25.12 | $25.12 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$36.31
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.