How much rates vary
Facilitymedian $427 · 10th to 90th $135 to $1,349Professionalmedian $186 · 10th to 90th $72 to $295
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 $128.82 Median $213.80 Typical High $1,479.11 | Facility | None | $128.82 | $213.80 | $1,479.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $93.33 | Facility | 26 · Professional part | $48.98 | $64.57 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $234.42 | Facility | TC · Technical part | $81.28 | $112.20 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $138.04 | $147.91 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $48.98 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $91.20 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $87.10 | $162.18 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $58.88 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $676.08 Typical High $1,548.82 | Facility | None | $151.36 | $676.08 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $61.66 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $61.66 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $645.65 | Facility | None | $95.50 | $218.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $131.83 | $229.09 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $61.66 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $154.88 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $1,000.00 | Professional | None | $144.54 | $208.93 | $1,000.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $74.13 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $645.65 | Professional | TC · Technical part | $93.33 | $134.90 | $645.65 |
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 $154.88 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $154.88 | $158.49 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $33.11 | $33.11 | $74.13 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $154.88 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $104.71 | $177.83 | $251.19 |
4 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 $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $120.23 Typical High $125.89 | Professional | CT · Older CT scanner | $114.82 | $120.23 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $117.49 | Professional | FX · Film X-ray | $109.65 | $112.20 | $117.49 |
Where Illinois sits
The same service costs 5.8 times more in Vermont 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· 35th of 51
$186
VT $603UT $105
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.