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 $154.88 Median $177.83 Typical High $549.54 | Facility | None | $154.88 | $177.83 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $154.88 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $151.36 | $165.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $794.33 Median $1,905.46 Typical High $4,570.88 | Facility | None | $794.33 | $1,905.46 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $33.88 Median $114.82 Typical High $389.05 | Professional | None (both parts) | $33.88 | $114.82 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $1,621.81 | Facility | None | $269.15 | $457.09 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $169.82 | $281.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $28.84 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $147.91 | $239.88 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $831.76 | Professional | None | $186.21 | $281.84 | $831.76 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $128.82 | Professional | 26 · Professional part | $26.30 | $37.15 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $707.95 | Professional | TC · Technical part | $165.96 | $239.88 | $707.95 |
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 $204.17 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $204.17 | $208.93 | $229.09 |
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 $7,413.10 Median $7,413.10 Typical High $8,511.38 | Facility | None | $7,413.10 | $7,413.10 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $204.17 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $245.47 | $446.68 |
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 $77.62 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $35.48 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $123.03 | $141.25 | $141.25 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 35th of 51
$245
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.