How much rates vary
Facilitymedian $85 · 10th to 90th $33 to $251Professionalmedian $35 · 10th to 90th $13 to $62
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 $29.51 Median $45.71 Typical High $107.15 | Facility | None | $29.51 | $45.71 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $15.49 | Facility | 26 · Professional part | $7.59 | $10.47 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $33.88 Typical High $79.43 | Facility | TC · Technical part | $21.88 | $33.88 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $27.54 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $25.12 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.70 Typical High $31.62 | Professional | None (both parts) | $22.91 | $25.70 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $12.02 | Professional | 26 · Professional part | $6.61 | $7.08 | $12.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $323.59 | Facility | None | $60.26 | $112.20 | $323.59 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.96 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $10.96 | $40.74 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $72.44 Typical High $239.88 | Facility | None | $32.36 | $72.44 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $28.18 | $37.15 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $7.24 | $10.23 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $26.30 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $138.04 | Professional | None | $35.48 | $51.29 | $138.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $51.29 | Professional | 26 · Professional part | $8.91 | $12.59 | $51.29 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $24.55 | $36.31 | $83.18 |
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 $39.81 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $39.81 | $40.74 | $44.67 |
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 $28.84 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $28.84 | $36.31 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $26.30 | $44.67 |
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 $14.45 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $22.91 | $26.30 | $26.30 |
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· 32nd of 51
$36.31
AK $100FL $26.92
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.