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 $144.54 Median $162.18 Typical High $537.03 | Facility | None | $144.54 | $162.18 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $144.54 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $61.66 | Professional | 26 · Professional part | $53.70 | $56.23 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $89.13 | $104.71 | $117.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $794.33 Median $1,548.82 Typical High $4,570.88 | Facility | None | $794.33 | $1,548.82 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $389.05 | Professional | None (both parts) | $91.20 | $141.25 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $1,202.26 | Facility | None | $190.55 | $338.84 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $158.49 | $275.42 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $75.86 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $562.34 | Professional | TC · Technical part | $112.20 | $177.83 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $891.25 | Professional | None | $190.55 | $275.42 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $380.19 | Professional | 26 · Professional part | $66.07 | $95.50 | $380.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $181.97 | $602.56 |
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 $204.17 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $204.17 | $208.93 | $223.87 |
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 $269.15 Typical High $562.34 | Professional | None (both parts) | $177.83 | $269.15 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $112.20 | $181.97 | $371.54 |
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 $72.44 Median $79.43 Typical High $95.50 | Professional | 52 · Reduced service | $72.44 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $28.84 | $32.36 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $128.82 | $128.82 |
Where Illinois sits
The same service costs 4.4 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· 28th of 51
$251
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.