How much rates vary
Facilitymedian $295 · 10th to 90th $112 to $832Professionalmedian $100 · 10th to 90th $25 to $186
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 $100.00 Median $154.88 Typical High $295.12 | Facility | None | $100.00 | $154.88 | $295.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $45.71 | Facility | 26 · Professional part | $14.45 | $23.99 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $269.15 | Facility | TC · Technical part | $85.11 | $131.83 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $81.28 | $100.00 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $14.45 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $85.11 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $181.97 | Professional | None (both parts) | $69.18 | $69.18 | $181.97 |
BCBS Illinois Setting Facility Modifier None Typical Low $190.55 Median $346.74 Typical High $1,071.52 | Facility | None | $190.55 | $346.74 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $20.89 Median $74.13 Typical High $234.42 | Professional | None (both parts) | $20.89 | $74.13 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $812.83 | Facility | None | $102.33 | $245.47 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $81.28 | $104.71 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $14.13 | $19.05 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $85.11 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $426.58 | Professional | None | $102.33 | $151.36 | $426.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $85.11 | Professional | 26 · Professional part | $16.98 | $23.99 | $85.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $338.84 | Professional | TC · Technical part | $85.11 | $125.89 | $338.84 |
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 $117.49 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $117.49 | $123.03 | $131.83 |
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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $85.11 | $109.65 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $19.05 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $89.13 | $151.36 |
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 $51.29 | Professional | 52 · Reduced service | $43.65 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $19.95 | $20.42 |
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 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· 33rd of 51
$105
AK $288NY $75.86
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.