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 $93.33 Median $128.82 Typical High $371.54 | Facility | None | $93.33 | $128.82 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $93.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $35.48 | $38.02 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $67.61 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $891.25 Typical High $2,818.38 | Facility | None | $389.05 | $891.25 | $2,818.38 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $52.48 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $52.48 | $144.54 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $758.58 | Facility | None | $87.10 | $194.98 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $95.50 | $181.97 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $120.23 Typical High $354.81 | Professional | TC · Technical part | $60.26 | $120.23 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $851.14 | Professional | None | $123.03 | $177.83 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $436.52 | Professional | 26 · Professional part | $43.65 | $61.66 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $114.82 | $467.74 |
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 $131.83 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $131.83 | $134.90 | $144.54 |
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 $4,677.35 Median $4,677.35 Typical High $5,248.07 | Facility | None | $4,677.35 | $4,677.35 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $104.71 | $147.91 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $47.86 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $89.13 | $218.78 |
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 $46.77 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $21.38 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $85.11 | $85.11 |
Where Illinois sits
The same service costs 4.0 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· 24th of 51
$155
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.