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 $36.31 Median $50.12 Typical High $128.82 | Facility | None | $36.31 | $50.12 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $47.86 | Facility | 26 · Professional part | $13.80 | $19.05 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $81.28 | Facility | TC · Technical part | $22.39 | $31.62 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $35.48 | $39.81 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $14.45 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $25.12 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $74.13 | Professional | None (both parts) | $32.36 | $32.36 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $537.03 | Facility | None | $120.23 | $281.84 | $537.03 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $19.95 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $19.95 | $50.12 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $75.86 Typical High $245.47 | Facility | None | $33.88 | $75.86 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $35.48 | $63.10 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $18.62 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $40.74 | $50.12 |
Hally Health Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $263.03 | Professional | None | $45.71 | $67.61 | $263.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $128.82 | Professional | 26 · Professional part | $16.98 | $23.44 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $144.54 | Professional | TC · Technical part | $28.84 | $42.66 | $144.54 |
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 $48.98 Median $50.12 Typical High $54.95 | Professional | None (both parts) | $48.98 | $50.12 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $33.11 | $33.11 | $40.74 |
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 $40.74 Median $57.54 Typical High $89.13 | Professional | None (both parts) | $40.74 | $57.54 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $18.62 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $23.44 | $38.02 | $66.07 |
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 $17.78 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $7.94 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $28.18 | $31.62 | $31.62 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in New York. 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· 30th of 51
$54.95
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.