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 $218.78 Median $831.76 Typical High $1,737.80 | Facility | None | $218.78 | $831.76 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $177.83 | Facility | 26 · Professional part | $60.26 | $93.33 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $416.87 | Facility | TC · Technical part | $154.88 | $223.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $204.17 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $60.26 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $154.88 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $43.65 | $43.65 | $51.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,047.13 Typical High $2,344.23 | Facility | None | $251.19 | $1,047.13 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $74.13 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $74.13 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $363.08 Typical High $645.65 | Facility | None | $158.49 | $363.08 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $199.53 | $338.84 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $69.18 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $251.19 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $1,548.82 | Professional | None | $213.80 | $316.23 | $1,548.82 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $489.78 | Professional | 26 · Professional part | $63.10 | $89.13 | $489.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $1,096.48 | Professional | TC · Technical part | $154.88 | $223.87 | $1,096.48 |
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 $234.42 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $234.42 | $239.88 | $257.04 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $234.42 | $389.05 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $72.44 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $288.40 | $407.38 |
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 $102.33 Median $107.15 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $42.66 | $50.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $181.97 Typical High $186.21 | Professional | CT · Older CT scanner | $173.78 | $181.97 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $169.82 Typical High $173.78 | Professional | FX · Film X-ray | $165.96 | $169.82 | $173.78 |
Where Illinois sits
The same service costs 5.1 times more in Alaska 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· 36th of 51
$282
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.