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 $104.71 Median $162.18 Typical High $229.09 | Facility | None | $104.71 | $162.18 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $100.00 | Facility | 26 · Professional part | $33.88 | $52.48 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $257.04 | Facility | TC · Technical part | $72.44 | $114.82 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $100.00 | $117.49 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $81.28 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $31.62 | $47.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $1,096.48 | Facility | None | $194.98 | $275.42 | $1,096.48 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $50.12 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $50.12 | $131.83 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $776.25 | Facility | None | $123.03 | $190.55 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $100.00 | $131.83 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $41.69 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $87.10 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $676.08 | Professional | None | $120.23 | $177.83 | $676.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $257.04 | Professional | 26 · Professional part | $42.66 | $58.88 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $436.52 | Professional | TC · Technical part | $81.28 | $120.23 | $436.52 |
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 $141.25 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $141.25 | $144.54 | $158.49 |
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 $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 $107.15 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $107.15 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $91.20 | $147.91 |
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 $52.48 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $23.99 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $95.50 | $95.50 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$129
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.