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 $263.03 Median $1,071.52 Typical High $1,737.80 | Facility | None | $263.03 | $1,071.52 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $239.88 | $245.47 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $186.21 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,047.13 Typical High $2,754.23 | Facility | None | $251.19 | $1,047.13 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $74.13 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $74.13 | $251.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $467.74 Typical High $741.31 | Facility | None | $218.78 | $467.74 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $251.19 | $389.05 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $70.79 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $295.12 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $1,318.26 | Professional | None | $269.15 | $398.11 | $1,318.26 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $354.81 | Professional | 26 · Professional part | $63.10 | $89.13 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $1,000.00 | Professional | TC · Technical part | $213.80 | $309.03 | $1,000.00 |
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 $295.12 Median $302.00 Typical High $323.59 | Professional | None (both parts) | $295.12 | $302.00 | $323.59 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $281.84 | $389.05 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $72.44 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $323.59 | $446.68 |
4 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 $120.23 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $47.86 | $50.12 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | CT · Older CT scanner | $204.17 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $190.55 | $199.53 | $199.53 |
Where Illinois sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 33rd of 51
$339
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.