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 $338.84 Median $851.14 Typical High $2,137.96 | Facility | None | $338.84 | $851.14 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $165.96 | Facility | 26 · Professional part | $75.86 | $104.71 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $724.44 | Facility | TC · Technical part | $263.03 | $371.54 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $309.03 | $354.81 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $79.43 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $263.03 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $223.87 | $223.87 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $66.07 | $89.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,445.44 Typical High $4,897.79 | Facility | None | $346.74 | $1,445.44 | $4,897.79 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $83.18 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $83.18 | $354.81 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $1,096.48 | Facility | None | $275.42 | $630.96 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $309.03 | $478.63 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $537.03 | Professional | TC · Technical part | $239.88 | $380.19 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $1,949.84 | Professional | None | $323.59 | $478.63 | $1,949.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $436.52 | Professional | 26 · Professional part | $70.79 | $100.00 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $1,548.82 | Professional | TC · Technical part | $263.03 | $389.05 | $1,548.82 |
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 $371.54 Typical High $398.11 | Professional | None (both parts) | $354.81 | $371.54 | $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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $758.58 | Professional | None (both parts) | $354.81 | $524.81 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $288.40 | $446.68 | $616.60 |
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 $154.88 Median $154.88 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | 53 · Discontinued | $61.66 | $61.66 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | FX · Film X-ray | $251.19 | $251.19 | $302.00 |
Where Illinois sits
The same service costs 5.1 times more in Wyoming 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· 34th of 51
$417
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.