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 $109.65 Median $128.82 Typical High $407.38 | Facility | None | $109.65 | $128.82 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $109.65 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $26.30 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $97.72 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $1,479.11 | Facility | None | $223.87 | $501.19 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $37.15 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $37.15 | $131.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $933.25 | Facility | None | $117.49 | $295.12 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $102.33 | $131.83 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $32.36 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $97.72 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $316.23 | Professional | None | $131.83 | $186.21 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $42.66 | $83.18 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $138.04 | $229.09 |
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 $144.54 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $144.54 | $151.36 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $33.11 | $33.11 | $134.90 |
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 $109.65 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $109.65 | $134.90 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $33.11 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $102.33 | $181.97 |
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 $54.95 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $87.10 | $100.00 | $100.00 |
Where Illinois sits
The same service costs 3.9 times more in Alaska than in New York. 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
$132
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.