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 $114.82 Median $128.82 Typical High $407.38 | Facility | None | $114.82 | $128.82 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $97.72 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $26.30 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $102.33 | $109.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $1,258.93 | Facility | None | $208.93 | $446.68 | $1,258.93 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $36.31 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $36.31 | $128.82 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $269.15 Typical High $1,000.00 | Facility | None | $123.03 | $269.15 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $97.72 | $131.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $31.62 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $102.33 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $407.38 | Professional | None | $128.82 | $190.55 | $407.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $104.71 | Professional | 26 · Professional part | $30.90 | $42.66 | $104.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $151.36 | $302.00 |
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 $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
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 $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $104.71 | $134.90 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $102.33 | $181.97 |
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 $57.54 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $25.70 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $91.20 | $104.71 | $104.71 |
Where Illinois sits
The same service costs 4.2 times more in Alaska than in New York. 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· 35th of 51
$132
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.