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 $245.47 Typical High $870.96 | Facility | None | $218.78 | $245.47 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $218.78 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $87.10 | $95.50 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $147.91 | $239.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $1,698.24 | Facility | None | $151.36 | $251.19 | $1,698.24 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $134.90 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $134.90 | $331.13 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $616.60 | Facility | None | $158.49 | $213.80 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $218.78 | $263.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $114.82 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $158.49 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $549.54 | Professional | None | $251.19 | $363.08 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $104.71 | $144.54 | $288.40 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $208.93 | $331.13 |
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 $309.03 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $309.03 | $316.23 | $338.84 |
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 $208.93 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $208.93 | $251.19 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $100.00 | $109.65 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $138.04 | $239.88 |
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 $109.65 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $177.83 | $194.98 | $194.98 |
Where Illinois sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 30th of 51
$245
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.