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 $102.33 Median $117.49 Typical High $323.59 | Facility | None | $102.33 | $117.49 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $102.33 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $61.66 | $70.79 | $70.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $331.13 Median $724.44 Typical High $1,348.96 | Facility | None | $331.13 | $724.44 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $56.23 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $56.23 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $190.55 Typical High $676.08 | Facility | None | $79.43 | $190.55 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $95.50 | $165.96 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $51.29 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $95.50 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $660.69 | Professional | None | $117.49 | $169.82 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $338.84 | Professional | 26 · Professional part | $47.86 | $66.07 | $338.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $354.81 | Professional | TC · Technical part | $69.18 | $100.00 | $354.81 |
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 $125.89 Median $128.82 Typical High $138.04 | Professional | None (both parts) | $125.89 | $128.82 | $138.04 |
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 $1,862.09 Median $1,862.09 Typical High $2,089.30 | Facility | None | $1,862.09 | $1,862.09 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $109.65 | $154.88 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $52.48 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $95.50 | $165.96 |
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 $51.29 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $23.44 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Where Illinois sits
The same service costs 4.6 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· 28th of 51
$145
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.