How much rates vary
Facilitymedian $240 · 10th to 90th $69 to $851Professionalmedian $87 · 10th to 90th $34 to $479
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 $63.10 Median $416.87 Typical High $478.63 | Facility | None | $63.10 | $416.87 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $416.87 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $21.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $467.74 Typical High $489.78 | Professional | TC · Technical part | $407.38 | $467.74 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $346.74 Typical High $831.76 | Facility | None | $154.88 | $346.74 | $831.76 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.84 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $28.84 | $67.61 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $346.74 | Facility | None | $58.88 | $97.72 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $50.12 | $81.28 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $26.92 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $52.48 | $64.57 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $263.03 | Professional | None | $91.20 | $128.82 | $263.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $34.67 | $89.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $89.13 | $169.82 |
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 $93.33 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $93.33 | $95.50 | $117.49 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $85.11 | $501.19 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $27.54 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $478.63 Typical High $870.96 | Professional | TC · Technical part | $60.26 | $478.63 | $870.96 |
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 $208.93 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $208.93 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $83.18 | $95.50 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $331.13 | $380.19 | $380.19 |
Where Illinois sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 44th of 51
$87.10
CO $661MI $58.88
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.