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 $107.15 Median $128.82 Typical High $363.08 | Facility | None | $107.15 | $128.82 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $107.15 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $29.51 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $93.33 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $1,230.27 | Facility | None | $275.42 | $489.78 | $1,230.27 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $43.65 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $43.65 | $107.15 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $741.31 | Facility | None | $134.90 | $234.42 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $109.65 | $147.91 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $117.49 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $457.09 | Professional | None | $120.23 | $165.96 | $457.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $117.49 | Professional | 26 · Professional part | $34.67 | $47.86 | $117.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $354.81 | Professional | TC · Technical part | $85.11 | $123.03 | $354.81 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
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 $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 $123.03 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $123.03 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $33.88 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $120.23 | $194.98 |
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 $53.70 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $24.55 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $97.72 | $97.72 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 29th of 51
$145
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.