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 $56.23 Median $64.57 Typical High $128.82 | Facility | None | $56.23 | $64.57 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $57.54 | $64.57 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $20.42 | $21.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $41.69 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $1,000.00 | Facility | None | $239.88 | $407.38 | $1,000.00 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $31.62 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $31.62 | $109.65 | $151.36 |
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 $81.28 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $81.28 | $114.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $38.02 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $75.86 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $575.44 | Professional | None | $165.96 | $245.47 | $575.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $165.96 | Professional | 26 · Professional part | $23.99 | $34.67 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $141.25 | $204.17 | $446.68 |
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 $190.55 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $190.55 | $194.98 | $239.88 |
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 $165.96 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $165.96 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $154.88 | $245.47 |
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 $28.18 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.18 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $11.48 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $45.71 | $51.29 | $51.29 |
Where Illinois sits
The same service costs 6.6 times more in Nebraska 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· 21st 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.