How much rates vary
Facilitymedian $89 · 10th to 90th $37 to $309Professionalmedian $37 · 10th to 90th $13 to $76
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 $33.11 Median $46.77 Typical High $112.20 | Facility | None | $33.11 | $46.77 | $112.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $11.75 | Facility | 26 · Professional part | $6.03 | $8.51 | $11.75 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $58.88 | Facility | TC · Technical part | $27.54 | $38.02 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $28.18 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.46 Typical High $10.96 | Professional | 26 · Professional part | $5.89 | $6.46 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $30.20 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $26.30 | $28.84 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.76 Typical High $9.55 | Professional | 26 · Professional part | $5.62 | $6.76 | $9.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $57.54 Median $120.23 Typical High $478.63 | Facility | None | $57.54 | $120.23 | $478.63 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $8.91 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $8.91 | $45.71 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $81.28 Typical High $295.12 | Facility | None | $38.02 | $81.28 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $25.12 | $38.02 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $6.03 | $7.94 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $18.20 | $31.62 | $51.29 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $131.83 | Professional | None | $37.15 | $57.54 | $131.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $45.71 | Professional | 26 · Professional part | $7.59 | $10.47 | $45.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $44.67 | $95.50 |
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 $44.67 Median $45.71 Typical High $50.12 | Professional | None (both parts) | $44.67 | $45.71 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $33.11 | $33.11 | $40.74 |
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 $37.15 Typical High $66.07 | Professional | None (both parts) | $28.84 | $37.15 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $7.94 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $30.20 | $52.48 |
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 $15.85 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.85 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.31 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $28.84 | $28.84 |
Where Illinois sits
The same service costs 11.5 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
$38.90
VT $339FL $29.51
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.