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 $302.00 Median $776.25 Typical High $1,548.82 | Facility | None | $302.00 | $776.25 | $1,548.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $295.12 | Facility | 26 · Professional part | $114.82 | $162.18 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $549.54 | Facility | TC · Technical part | $173.78 | $295.12 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $295.12 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $117.49 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $275.42 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $97.72 | $158.49 |
BCBS Setting Facility Modifier None Typical Low $251.19 Median $1,513.56 Typical High $4,570.88 | Facility | None | $251.19 | $1,513.56 | $4,570.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $144.54 | $446.68 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $707.95 Typical High $1,174.90 | Facility | None | $309.03 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $416.87 | $645.65 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $134.90 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $302.00 | $467.74 | $691.83 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $2,137.96 | Professional | None | $436.52 | $660.69 | $2,137.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $794.33 | Professional | 26 · Professional part | $125.89 | $173.78 | $794.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $478.63 Typical High $1,412.54 | Professional | TC · Technical part | $323.59 | $478.63 | $1,412.54 |
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 $489.78 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $489.78 | $501.19 | $549.54 |
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 $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $446.68 | $602.56 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $141.25 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $316.23 | $446.68 | $676.08 |
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 $147.91 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $147.91 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $58.88 | $61.66 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $234.42 | $245.47 | $245.47 |
Where Illinois sits
The same service costs 6.8 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· 20th of 51
$525
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.