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 $27.54 Median $42.66 Typical High $100.00 | Facility | None | $27.54 | $42.66 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $13.80 | Facility | 26 · Professional part | $7.24 | $10.47 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $74.13 | Facility | TC · Technical part | $20.42 | $30.90 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $25.70 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $23.44 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | None (both parts) | $23.99 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $6.46 | $8.51 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $302.00 | Facility | None | $58.88 | $112.20 | $302.00 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.72 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $10.72 | $38.02 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $72.44 Typical High $229.09 | Facility | None | $33.88 | $72.44 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $26.92 | $35.48 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $9.55 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $24.55 | $38.90 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $114.82 | Professional | None | $33.88 | $48.98 | $114.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $51.29 | Professional | 26 · Professional part | $8.71 | $12.02 | $51.29 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $34.67 | $72.44 |
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 $38.02 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $38.02 | $38.02 | $41.69 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $28.18 | $34.67 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $25.12 | $42.66 |
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 $13.80 Median $15.49 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $25.12 | $25.12 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$34.67
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.