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 $112.20 Median $128.82 Typical High $398.11 | Facility | None | $112.20 | $128.82 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $112.20 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $58.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $67.61 | $97.72 |
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 $77.62 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $77.62 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $741.31 | Facility | None | $138.04 | $208.93 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $645.65 | Professional | None (both parts) | $128.82 | $208.93 | $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 $69.18 Median $112.20 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $112.20 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $758.58 | Professional | None | $144.54 | $208.93 | $758.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $363.08 | Professional | 26 · Professional part | $66.07 | $95.50 | $363.08 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $512.86 | Professional | TC · Technical part | $77.62 | $109.65 | $512.86 |
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 $154.88 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $154.88 | $154.88 | $169.82 |
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 $144.54 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $144.54 | $213.80 | $512.86 |
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 $79.43 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $79.43 | $128.82 | $323.59 |
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 $56.23 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $25.12 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $100.00 | $100.00 |
Where Illinois sits
The same service costs 5.4 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· 33rd of 51
$182
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.