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 $251.19 Median $549.54 Typical High $2,137.96 | Facility | None | $251.19 | $549.54 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $158.49 | Facility | 26 · Professional part | $69.18 | $104.71 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $446.68 | Facility | TC · Technical part | $177.83 | $245.47 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $245.47 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $79.43 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $194.98 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $162.18 | $162.18 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $66.07 | $89.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,380.38 Typical High $3,801.89 | Facility | None | $346.74 | $1,380.38 | $3,801.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $81.28 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $81.28 | $263.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $416.87 Typical High $1,096.48 | Facility | None | $186.21 | $416.87 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $229.09 | $416.87 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $309.03 | $512.86 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $1,905.46 | Professional | None | $239.88 | $354.81 | $1,905.46 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $426.58 | Professional | 26 · Professional part | $70.79 | $97.72 | $426.58 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $1,479.11 | Professional | TC · Technical part | $177.83 | $257.04 | $1,479.11 |
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 $269.15 Median $275.42 Typical High $295.12 | Professional | None (both parts) | $269.15 | $275.42 | $295.12 |
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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $257.04 | $467.74 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $338.84 | $524.81 |
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 $123.03 Median $123.03 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $48.98 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | FX · Film X-ray | $199.53 | $199.53 | $245.47 |
Where Illinois sits
The same service costs 5.5 times more in Wyoming 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· 40th of 51
$316
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.