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 $79.43 Median $416.87 Typical High $478.63 | Facility | None | $79.43 | $416.87 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $416.87 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $24.55 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $467.74 Typical High $489.78 | Professional | TC · Technical part | $407.38 | $467.74 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $426.58 Typical High $933.25 | Facility | None | $158.49 | $426.58 | $933.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $32.36 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $32.36 | $85.11 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $457.09 | Facility | None | $77.62 | $134.90 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $61.66 | $87.10 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $56.23 | $81.28 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $316.23 | Professional | None | $91.20 | $131.83 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $134.90 | Professional | 26 · Professional part | $28.18 | $39.81 | $134.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $89.13 | $194.98 |
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 $95.50 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $95.50 | $95.50 | $117.49 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $85.11 | $501.19 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $30.90 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $478.63 Typical High $870.96 | Professional | TC · Technical part | $58.88 | $478.63 | $870.96 |
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 $208.93 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $208.93 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $83.18 | $95.50 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $331.13 | $380.19 | $380.19 |
Where Illinois sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 40th of 51
$110
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.