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 $218.78 Median $602.56 Typical High $2,137.96 | Facility | None | $218.78 | $602.56 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $173.78 | Facility | 26 · Professional part | $74.13 | $112.20 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $389.05 | Facility | TC · Technical part | $141.25 | $199.53 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $218.78 | $239.88 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $85.11 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $154.88 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $128.82 | $162.18 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $64.57 | $93.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $1,288.25 Typical High $2,570.40 | Facility | None | $346.74 | $1,288.25 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $87.10 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $87.10 | $229.09 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $354.81 Typical High $1,096.48 | Facility | None | $147.91 | $354.81 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $199.53 | $389.05 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $83.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $128.82 | $281.84 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $1,905.46 | Professional | None | $213.80 | $316.23 | $1,905.46 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $467.74 | Professional | 26 · Professional part | $75.86 | $107.15 | $467.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $208.93 Typical High $1,318.26 | Professional | TC · Technical part | $141.25 | $208.93 | $1,318.26 |
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 $234.42 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $234.42 | $239.88 | $257.04 |
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 $630.96 | Professional | None (both parts) | $229.09 | $407.38 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $87.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $151.36 | $281.84 | $478.63 |
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 $107.15 Median $107.15 Typical High $186.21 | Professional | 52 · Reduced service | $107.15 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | FX · Film X-ray | $173.78 | $173.78 | $213.80 |
Where Illinois sits
The same service costs 6.6 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· 40th 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.