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 $128.82 Median $194.98 Typical High $416.87 | Facility | None | $128.82 | $194.98 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $125.89 | Facility | 26 · Professional part | $43.65 | $67.61 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $302.00 | Facility | TC · Technical part | $89.13 | $141.25 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $109.65 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $102.33 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $56.23 | $70.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $1,513.56 | Facility | None | $223.87 | $354.81 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $63.10 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $63.10 | $173.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $977.24 | Facility | None | $128.82 | $245.47 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $112.20 | $162.18 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $50.12 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $112.20 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $489.78 | Professional | None | $151.36 | $223.87 | $489.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $229.09 | Professional | 26 · Professional part | $50.12 | $74.13 | $229.09 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $144.54 | $288.40 |
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 $177.83 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $177.83 | $181.97 | $194.98 |
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 $138.04 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $138.04 | $173.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $52.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $125.89 | $194.98 |
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 $66.07 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $117.49 | $117.49 |
Where Illinois sits
The same service costs 4.3 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· 32nd of 51
$166
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.