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 $346.74 Median $812.83 Typical High $1,621.81 | Facility | None | $346.74 | $812.83 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $239.88 | Facility | 26 · Professional part | $91.20 | $138.04 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $549.54 | Facility | TC · Technical part | $186.21 | $295.12 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $269.15 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $186.21 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $104.71 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $3,311.31 | Facility | None | $251.19 | $1,202.26 | $3,311.31 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $109.65 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $109.65 | $323.59 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $537.03 Typical High $851.14 | Facility | None | $245.47 | $537.03 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $302.00 | $416.87 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $102.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $316.23 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,548.82 | Professional | None | $316.23 | $478.63 | $1,548.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $524.81 | Professional | 26 · Professional part | $95.50 | $131.83 | $524.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $1,047.13 | Professional | TC · Technical part | $239.88 | $346.74 | $1,047.13 |
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 $354.81 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $354.81 | $363.08 | $398.11 |
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 $331.13 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $331.13 | $467.74 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $107.15 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $354.81 | $501.19 |
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 $134.90 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $54.95 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $213.80 | $223.87 | $223.87 |
Where Illinois sits
The same service costs 6.0 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· 32nd of 51
$389
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.