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 $323.59 Median $812.83 Typical High $1,621.81 | Facility | None | $323.59 | $812.83 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $251.19 | Facility | 26 · Professional part | $95.50 | $147.91 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $549.54 | Facility | TC · Technical part | $186.21 | $288.40 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $269.15 | $281.84 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $95.50 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $186.21 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,318.26 Typical High $3,630.78 | Facility | None | $251.19 | $1,318.26 | $3,630.78 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $114.82 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $114.82 | $354.81 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $933.25 | Facility | None | $269.15 | $588.84 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $331.13 | $436.52 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $107.15 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $331.13 | $467.74 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $1,584.89 | Professional | None | $346.74 | $512.86 | $1,584.89 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $138.04 Typical High $512.86 | Professional | 26 · Professional part | $100.00 | $138.04 | $512.86 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $1,096.48 | Professional | TC · Technical part | $263.03 | $380.19 | $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 $389.05 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $389.05 | $398.11 | $426.58 |
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 $354.81 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $354.81 | $501.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $112.20 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $537.03 | Professional | TC · Technical part | $263.03 | $389.05 | $537.03 |
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 $134.90 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $56.23 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $229.09 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $218.78 | $223.87 | $223.87 |
Where Illinois sits
The same service costs 6.2 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· 30th of 51
$417
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.