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 $18.62 Median $26.30 Typical High $56.23 | Facility | None | $18.62 | $26.30 | $56.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $13.18 | Facility | 26 · Professional part | $6.76 | $10.23 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $18.62 Typical High $44.67 | Facility | TC · Technical part | $12.02 | $18.62 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $20.89 Typical High $33.88 | Professional | None (both parts) | $18.62 | $20.89 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $11.22 | Professional | 26 · Professional part | $6.46 | $7.08 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.80 Typical High $22.39 | Professional | TC · Technical part | $12.02 | $13.80 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.98 Typical High $25.12 | Professional | None (both parts) | $14.45 | $16.98 | $25.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $199.53 | Facility | None | $51.29 | $109.65 | $199.53 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $9.77 Median $25.70 Typical High $44.67 | Professional | None (both parts) | $9.77 | $25.70 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $42.66 Typical High $134.90 | Facility | None | $23.99 | $42.66 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $20.42 | $30.20 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.71 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.42 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $20.42 | $26.92 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $117.49 | Professional | None | $24.55 | $34.67 | $117.49 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $45.71 | Professional | 26 · Professional part | $8.32 | $11.48 | $45.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $79.43 | Professional | TC · Technical part | $15.85 | $22.39 | $79.43 |
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 $25.70 Median $25.70 Typical High $28.84 | Professional | None (both parts) | $25.70 | $25.70 | $28.84 |
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 $21.88 Median $27.54 Typical High $40.74 | Professional | None (both parts) | $21.88 | $27.54 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $8.91 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $18.20 Typical High $26.30 | Professional | TC · Technical part | $13.80 | $18.20 | $26.30 |
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 $9.33 Median $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $4.17 | $4.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | FX · Film X-ray | $14.79 | $16.60 | $16.60 |
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· 25th of 51
$28.18
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.