How much rates vary
Facilitymedian $78 · 10th to 90th $32 to $229Professionalmedian $33 · 10th to 90th $12 to $59
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 $28.84 Median $39.81 Typical High $93.33 | Facility | None | $28.84 | $39.81 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $13.80 | Facility | 26 · Professional part | $7.24 | $10.23 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $64.57 | Facility | TC · Technical part | $21.38 | $29.51 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $25.70 | $30.90 | $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 $18.62 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $23.44 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $22.39 | $28.18 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.92 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $6.92 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $288.40 | Facility | None | $61.66 | $112.20 | $288.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.72 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $10.72 | $38.90 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $72.44 Typical High $229.09 | Facility | None | $30.20 | $72.44 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $26.92 | $35.48 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $9.33 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $39.81 | Professional | TC · Technical part | $19.95 | $24.55 | $39.81 |
Hally Health Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $151.36 | Professional | None | $34.67 | $50.12 | $151.36 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $54.95 | Professional | 26 · Professional part | $8.91 | $12.59 | $54.95 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $93.33 | Professional | TC · Technical part | $25.12 | $35.48 | $93.33 |
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 $38.90 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $38.90 | $38.90 | $42.66 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $28.18 | $34.67 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $25.12 | $42.66 |
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 $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.80 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.17 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.17 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | FX · Film X-ray | $21.88 | $24.55 | $24.55 |
Where Illinois sits
The same service costs 6.0 times more in Vermont 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· 32nd of 51
$35.48
VT $155FL $25.70
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.