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 $89.13 Median $117.49 Typical High $128.82 | Facility | None | $89.13 | $117.49 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $87.10 | Facility | 26 · Professional part | $25.12 | $35.48 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $257.04 | Facility | TC · Technical part | $64.57 | $89.13 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $87.10 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $24.55 | $26.30 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $72.44 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $19.05 | Professional | 26 · Professional part | $7.76 | $7.76 | $19.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $1,819.70 | Facility | None | $323.59 | $616.60 | $1,819.70 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $36.31 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $36.31 | $162.18 | $251.19 |
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 $120.23 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $120.23 | $169.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $45.71 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $123.03 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $660.69 | Professional | None | $169.82 | $257.04 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $229.09 | Professional | 26 · Professional part | $28.18 | $39.81 | $229.09 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $204.17 | $489.78 |
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 $194.98 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $194.98 | $199.53 | $245.47 |
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 $177.83 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $177.83 | $204.17 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $50.12 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $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 $43.65 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.38 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $70.79 | $79.43 | $79.43 |
Where Illinois sits
The same service costs 4.2 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· 22nd of 51
$182
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.