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 $128.82 Typical High $407.38 | Facility | None | $114.82 | $128.82 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $114.82 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $15.85 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $107.15 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $446.68 Typical High $1,230.27 | Facility | None | $154.88 | $446.68 | $1,230.27 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $31.62 Median $112.20 Typical High $295.12 | Professional | None (both parts) | $31.62 | $112.20 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $323.59 Typical High $1,047.13 | Facility | None | $87.10 | $323.59 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $75.86 | $112.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $25.70 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $91.20 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $457.09 | Professional | None | $123.03 | $194.98 | $457.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $107.15 | Professional | 26 · Professional part | $25.70 | $37.15 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $93.33 | $158.49 | $363.08 |
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 $154.88 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $154.88 | $162.18 | $173.78 |
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 $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $79.43 | $131.83 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $25.70 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $61.66 | $109.65 | $251.19 |
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 $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $26.30 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $91.20 | $104.71 | $104.71 |
Where Illinois sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 38th of 51
$132
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.