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 $141.25 Median $204.17 Typical High $524.81 | Facility | None | $141.25 | $204.17 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $257.04 | Facility | TC · Technical part | $67.61 | $85.11 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $144.54 | $158.49 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $89.13 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $67.61 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $4,570.88 | Facility | None | $724.44 | $1,318.26 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $125.89 | $218.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $758.58 | Facility | None | $151.36 | $223.87 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $162.18 | $263.03 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $100.00 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $131.83 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $851.14 | Professional | None | $177.83 | $269.15 | $851.14 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $144.54 Typical High $537.03 | Professional | 26 · Professional part | $95.50 | $144.54 | $537.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $575.44 | Professional | TC · Technical part | $79.43 | $114.82 | $575.44 |
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 $194.98 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $194.98 | $199.53 | $218.78 |
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 $177.83 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $177.83 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $67.61 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $134.90 | $363.08 |
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 $70.79 Median $79.43 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $31.62 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $112.20 | $125.89 | $125.89 |
Where Illinois sits
The same service costs 5.1 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
$224
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.