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 $1,513.56 Typical High $2,454.71 | Facility | None | $323.59 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $288.40 | $288.40 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $81.28 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $208.93 | $208.93 | $363.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $3,235.94 | Facility | None | $501.19 | $1,513.56 | $3,235.94 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $97.72 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $97.72 | $302.00 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $575.44 Typical High $1,096.48 | Facility | None | $213.80 | $575.44 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $269.15 | $478.63 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $91.20 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $186.21 | $346.74 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $2,137.96 | Professional | None | $281.84 | $426.58 | $2,137.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $691.83 | Professional | 26 · Professional part | $85.11 | $117.49 | $691.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $1,513.56 | Professional | TC · Technical part | $208.93 | $302.00 | $1,513.56 |
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 $316.23 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $316.23 | $323.59 | $346.74 |
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 $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $309.03 | $549.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $398.11 | $616.60 |
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 $144.54 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | 53 · Discontinued | $57.54 | $57.54 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | FX · Film X-ray | $229.09 | $229.09 | $288.40 |
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· 38th of 51
$389
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.