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 $114.82 Median $128.82 Typical High $416.87 | Facility | None | $114.82 | $128.82 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $117.49 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $77.62 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $4,570.88 | Facility | None | $660.69 | $1,288.25 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $67.61 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $67.61 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $891.25 | Facility | None | $151.36 | $251.19 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $131.83 | $213.80 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $131.83 Typical High $562.34 | Professional | TC · Technical part | $81.28 | $131.83 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $758.58 | Professional | None | $147.91 | $218.78 | $758.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $346.74 | Professional | 26 · Professional part | $57.54 | $83.18 | $346.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $549.54 | Professional | TC · Technical part | $91.20 | $134.90 | $549.54 |
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 $162.18 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $162.18 | $162.18 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $33.11 | $33.11 | $85.11 |
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 $223.87 Typical High $512.86 | Professional | None (both parts) | $144.54 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $89.13 | $144.54 | $338.84 |
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 $57.54 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $30.90 | Professional | 53 · Discontinued | $22.91 | $25.70 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $102.33 | $102.33 |
Where Illinois sits
The same service costs 4.3 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· 32nd of 51
$191
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.