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 $229.09 Median $501.19 Typical High $2,089.30 | Facility | None | $229.09 | $501.19 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $158.49 | Facility | 26 · Professional part | $69.18 | $91.20 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $354.81 | Facility | TC · Technical part | $151.36 | $204.17 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $223.87 | $251.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $79.43 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $169.82 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $151.36 | $162.18 | $251.19 |
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 $1,412.54 Typical High $3,548.13 | Facility | None | $346.74 | $1,412.54 | $3,548.13 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $83.18 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $83.18 | $239.88 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $1,096.48 | Facility | None | $162.18 | $371.54 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $208.93 | $380.19 | $562.34 |
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 $141.25 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $263.03 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $2,041.74 | Professional | None | $218.78 | $331.13 | $2,041.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $416.87 | Professional | 26 · Professional part | $70.79 | $97.72 | $416.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $1,513.56 | Professional | TC · Technical part | $158.49 | $229.09 | $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 $245.47 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $245.47 | $251.19 | $269.15 |
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 $229.09 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $229.09 | $407.38 | $645.65 |
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 $162.18 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $288.40 | $512.86 |
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 $112.20 Median $112.20 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | FX · Film X-ray | $177.83 | $177.83 | $223.87 |
Where Illinois sits
The same service costs 13.5 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· 39th of 51
$288
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.