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 $131.83 Median $186.21 Typical High $478.63 | Facility | None | $131.83 | $186.21 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $245.47 | Facility | TC · Technical part | $66.07 | $81.28 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $131.83 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $81.28 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $66.07 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $100.00 | $100.00 | $114.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $4,570.88 | Facility | None | $660.69 | $1,230.27 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $114.82 | $199.53 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $724.44 | Facility | None | $144.54 | $204.17 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $141.25 | $245.47 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $562.34 | Professional | TC · Technical part | $66.07 | $120.23 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $1,071.52 | Professional | None | $162.18 | $245.47 | $1,071.52 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $616.60 | Professional | 26 · Professional part | $83.18 | $128.82 | $616.60 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $812.83 | Professional | TC · Technical part | $74.13 | $107.15 | $812.83 |
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 $173.78 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $173.78 | $181.97 | $199.53 |
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 $165.96 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $165.96 | $239.88 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $91.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $346.74 | Professional | TC · Technical part | $77.62 | $128.82 | $346.74 |
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 $66.07 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $29.51 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $117.49 | $117.49 |
Where Illinois sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 32nd of 51
$204
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.