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 $128.82 Median $147.91 Typical High $467.74 | Facility | None | $128.82 | $147.91 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $128.82 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $20.42 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $128.82 | Professional | TC · Technical part | $109.65 | $125.89 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $1,621.81 | Facility | None | $223.87 | $331.13 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.20 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $30.20 | $107.15 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $1,174.90 | Facility | None | $173.78 | $302.00 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $117.49 | $158.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $28.18 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $131.83 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $446.68 | Professional | None | $147.91 | $223.87 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $36.31 | $87.10 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $181.97 | $371.54 |
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 $173.78 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $173.78 | $177.83 | $194.98 |
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 $131.83 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $131.83 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $134.90 | $234.42 |
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 $64.57 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $117.49 | $117.49 |
Where Illinois sits
The same service costs 3.8 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· 34th of 51
$158
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.