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 $24.55 Median $36.31 Typical High $93.33 | Facility | None | $24.55 | $36.31 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $29.51 | Facility | 26 · Professional part | $9.55 | $14.13 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.18 Typical High $29.51 | Professional | None (both parts) | $24.55 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.55 Typical High $10.00 | Professional | 26 · Professional part | $8.91 | $9.55 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $19.05 | Professional | TC · Technical part | $15.85 | $18.62 | $19.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.98 Median $100.00 Typical High $295.12 | Facility | None | $16.98 | $100.00 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $25.70 | $34.67 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $12.02 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $22.39 | $33.11 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $165.96 | Professional | None | $51.29 | $89.13 | $165.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $47.86 | Professional | 26 · Professional part | $11.22 | $15.49 | $47.86 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $40.74 | $70.79 | $120.23 |
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 $66.07 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $66.07 | $67.61 | $79.43 |
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 Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $47.86 | $60.26 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $12.88 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $38.90 | $48.98 | $83.18 |
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 $12.30 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $12.30 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $4.90 | $5.62 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | FX · Film X-ray | $19.95 | $22.39 | $22.39 |
Where Illinois sits
The same service costs 4.7 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· 32nd of 51
$39.81
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.