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 $81.28 Median $125.89 Typical High $275.42 | Facility | None | $81.28 | $125.89 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $51.29 | Facility | 26 · Professional part | $25.12 | $38.90 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $199.53 | Facility | TC · Technical part | $54.95 | $91.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $81.28 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $27.54 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $67.61 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $912.01 | Facility | None | $158.49 | $257.04 | $912.01 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $36.31 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $36.31 | $102.33 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $645.65 | Facility | None | $102.33 | $173.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $75.86 | $102.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $30.20 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $72.44 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $302.00 | Professional | None | $95.50 | $144.54 | $302.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $154.88 | Professional | 26 · Professional part | $30.90 | $43.65 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $95.50 | $177.83 |
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 $112.20 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $112.20 | $114.82 | $125.89 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $85.11 | $104.71 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $77.62 | $123.03 |
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 $42.66 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $19.05 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $75.86 | $75.86 |
Where Illinois sits
The same service costs 3.8 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· 34th of 51
$102
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.