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 $512.86 Median $1,258.93 Typical High $2,137.96 | Facility | None | $512.86 | $1,258.93 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $234.42 | Facility | 26 · Professional part | $81.28 | $128.82 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $776.25 | Facility | TC · Technical part | $288.40 | $524.81 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $371.54 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $81.28 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $288.40 | $389.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $5,128.61 | Facility | None | $501.19 | $1,584.89 | $5,128.61 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $97.72 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $97.72 | $338.84 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $660.69 Typical High $1,096.48 | Facility | None | $295.12 | $660.69 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $338.84 | $524.81 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $91.20 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $407.38 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $2,238.72 | Professional | None | $354.81 | $537.03 | $2,238.72 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $549.54 | Professional | 26 · Professional part | $85.11 | $117.49 | $549.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $407.38 Typical High $1,778.28 | Professional | TC · Technical part | $281.84 | $407.38 | $1,778.28 |
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 $389.05 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $389.05 | $407.38 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $33.11 | $33.11 | $77.62 |
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 $389.05 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $389.05 | $588.84 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $489.78 | $676.08 |
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 $181.97 Median $181.97 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | FX · Film X-ray | $295.12 | $295.12 | $323.59 |
Where Illinois sits
The same service costs 5.4 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
$457
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.