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 $141.25 Median $158.49 Typical High $416.87 | Facility | None | $141.25 | $158.49 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $141.25 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $63.10 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $93.33 | $95.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $1,479.11 | Facility | None | $512.86 | $954.99 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $79.43 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $79.43 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $870.96 | Facility | None | $97.72 | $234.42 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $134.90 | $213.80 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $75.86 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $77.62 | $114.82 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $645.65 | Professional | None | $169.82 | $245.47 | $645.65 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $389.05 | Professional | 26 · Professional part | $74.13 | $102.33 | $389.05 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $331.13 | Professional | TC · Technical part | $93.33 | $134.90 | $331.13 |
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 $181.97 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $181.97 | $181.97 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $33.11 | $33.11 | $74.13 |
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 $138.04 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $138.04 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $77.62 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $72.44 | $123.03 | $239.88 |
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 $70.79 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $31.62 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $112.20 | $125.89 | $125.89 |
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· 31st of 51
$195
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.