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 $104.71 Median $128.82 Typical High $380.19 | Facility | None | $104.71 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $104.71 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $51.29 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $57.54 | $64.57 | $134.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $8,128.31 | Facility | None | $630.96 | $1,202.26 | $8,128.31 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $72.44 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $72.44 | $144.54 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $724.44 | Facility | None | $128.82 | $204.17 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $120.23 | $199.53 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $66.07 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $562.34 | Professional | TC · Technical part | $66.07 | $109.65 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $831.76 | Professional | None | $134.90 | $199.53 | $831.76 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $398.11 | Professional | 26 · Professional part | $60.26 | $85.11 | $398.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $549.54 | Professional | TC · Technical part | $74.13 | $109.65 | $549.54 |
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 $144.54 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $144.54 | $144.54 | $162.18 |
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 $13,182.57 Median $13,182.57 Typical High $15,135.61 | Facility | None | $13,182.57 | $13,182.57 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $131.83 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $66.07 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $331.13 | Professional | TC · Technical part | $75.86 | $125.89 | $331.13 |
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 $52.48 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $52.48 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $23.44 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Where Illinois sits
The same service costs 4.9 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· 31st of 51
$170
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.