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 $114.82 Median $131.83 Typical High $147.91 | Facility | None | $114.82 | $131.83 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $114.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $32.36 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $95.50 | $95.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $1,584.89 | Facility | None | $275.42 | $524.81 | $1,584.89 |
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 $138.04 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $138.04 | $162.18 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $43.65 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $117.49 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $524.81 | Professional | None | $154.88 | $223.87 | $524.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $177.83 | Professional | 26 · Professional part | $38.02 | $52.48 | $177.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $117.49 | $169.82 | $389.05 |
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 $223.87 | Professional | None (both parts) | $177.83 | $181.97 | $223.87 |
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 $147.91 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $147.91 | $169.82 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $125.89 | $204.17 |
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 $57.54 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $104.71 | $104.71 |
Where Illinois sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 24th of 51
$162
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.