How much rates vary
Facilitymedian $85 · 10th to 90th $32 to $245Professionalmedian $35 · 10th to 90th $13 to $59
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 $28.84 Median $41.69 Typical High $151.36 | Facility | None | $28.84 | $41.69 | $151.36 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $14.13 | Facility | 26 · Professional part | $7.24 | $10.23 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $48.98 | Facility | TC · Technical part | $21.88 | $30.90 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $28.84 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $7.76 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $25.12 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $23.99 | $28.18 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.24 Typical High $11.75 | Professional | 26 · Professional part | $5.75 | $7.24 | $11.75 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $17.38 | $28.84 | $54.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $316.23 | Facility | None | $63.10 | $117.49 | $316.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.72 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $10.72 | $39.81 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $72.44 Typical High $245.47 | Facility | None | $32.36 | $72.44 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $28.84 | $37.15 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $10.00 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $26.30 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $128.82 | Professional | None | $36.31 | $51.29 | $128.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $57.54 | Professional | 26 · Professional part | $8.91 | $12.59 | $57.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $37.15 | $77.62 |
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 $39.81 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $39.81 | $40.74 | $44.67 |
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 $29.51 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $29.51 | $37.15 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.00 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $26.92 | $45.71 |
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 $14.45 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $23.44 | $26.30 | $26.30 |
Where Illinois sits
The same service costs 15.1 times more in Vermont 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
$36.31
VT $407FL $26.92
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.