How much rates vary
Facilitymedian $245 · 10th to 90th $95 to $724Professionalmedian $91 · 10th to 90th $28 to $162
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 $81.28 Median $128.82 Typical High $275.42 | Facility | None | $81.28 | $128.82 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $46.77 | Facility | 26 · Professional part | $16.22 | $24.55 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $218.78 | Facility | TC · Technical part | $64.57 | $100.00 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $72.44 | $91.20 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $16.22 | $17.38 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $74.13 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $933.25 | Facility | None | $165.96 | $309.03 | $933.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $23.44 Median $83.18 Typical High $190.55 | Professional | None (both parts) | $23.44 | $83.18 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $218.78 Typical High $691.83 | Facility | None | $87.10 | $218.78 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $74.13 | $93.33 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $21.88 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $70.79 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $338.84 | Professional | None | $91.20 | $134.90 | $338.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $97.72 | Professional | 26 · Professional part | $19.95 | $28.18 | $97.72 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $245.47 | Professional | TC · Technical part | $70.79 | $104.71 | $245.47 |
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 $104.71 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $104.71 | $109.65 | $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 $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 $77.62 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $77.62 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $18.62 | $21.88 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $58.88 | $75.86 | $131.83 |
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 $40.74 Median $45.71 Typical High $46.77 | Professional | 52 · Reduced service | $40.74 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $18.62 | Professional | 53 · Discontinued | $16.22 | $18.20 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $64.57 | $72.44 | $72.44 |
Where Illinois sits
The same service costs 4.0 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· 34th of 51
$95.50
AK $263UT $66.07
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.