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 $42.66 Median $58.88 Typical High $87.10 | Facility | None | $42.66 | $58.88 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $27.54 | Facility | 26 · Professional part | $13.80 | $19.05 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $95.50 | Facility | TC · Technical part | $28.84 | $41.69 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $42.66 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $14.79 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $33.11 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $32.36 | $46.77 | $87.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $416.87 | Facility | None | $91.20 | $151.36 | $416.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $19.95 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $19.95 | $53.70 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $323.59 | Facility | None | $44.67 | $102.33 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $42.66 | $56.23 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $18.20 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $36.31 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $199.53 | Professional | None | $54.95 | $77.62 | $199.53 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $91.20 | Professional | 26 · Professional part | $17.38 | $23.99 | $91.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $36.31 | $51.29 | $117.49 |
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 $58.88 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $58.88 | $60.26 | $66.07 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $45.71 | $56.23 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $18.20 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $37.15 | $60.26 |
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 $21.38 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $21.38 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $9.55 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $33.88 | $38.02 | $38.02 |
Where Illinois sits
The same service costs 4.5 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· 33rd of 51
$54.95
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.