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 $147.91 Typical High $467.74 | Facility | None | $131.83 | $147.91 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $131.83 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $47.86 | $51.29 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $81.28 | $95.50 | $109.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $707.95 Median $1,445.44 Typical High $4,570.88 | Facility | None | $707.95 | $1,445.44 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $69.18 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $69.18 | $177.83 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $1,071.52 | Facility | None | $181.97 | $302.00 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $630.96 | Professional | None (both parts) | $144.54 | $239.88 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $562.34 | Professional | TC · Technical part | $100.00 | $154.88 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $812.83 | Professional | None | $169.82 | $245.47 | $812.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $323.59 | Professional | 26 · Professional part | $60.26 | $83.18 | $323.59 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $575.44 | Professional | TC · Technical part | $112.20 | $162.18 | $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 $181.97 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $181.97 | $186.21 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $33.11 | $33.11 | $54.95 |
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 $234.42 Typical High $537.03 | Professional | None (both parts) | $165.96 | $234.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $158.49 | $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 $64.57 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $72.44 | $85.11 |
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 4.4 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
$209
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.