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 $67.61 Median $117.49 Typical High $295.12 | Facility | None | $67.61 | $117.49 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $181.97 | Facility | TC · Technical part | $48.98 | $58.88 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $85.11 | $93.33 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $15.85 | $44.67 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $147.91 | Professional | TC · Technical part | $44.67 | $48.98 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $1,862.09 | Facility | None | $436.52 | $794.33 | $1,862.09 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $60.26 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $588.84 | Professional | None (both parts) | $83.18 | $151.36 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $33.88 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $562.34 | Professional | TC · Technical part | $50.12 | $87.10 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $630.96 | Professional | None | $107.15 | $154.88 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $316.23 | Professional | 26 · Professional part | $42.66 | $70.79 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $79.43 Typical High $446.68 | Professional | TC · Technical part | $53.70 | $79.43 | $446.68 |
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 $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
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 Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $426.58 | Professional | None (both parts) | $102.33 | $151.36 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $18.62 | $50.12 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $316.23 | Professional | TC · Technical part | $58.88 | $97.72 | $316.23 |
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 $41.69 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $18.62 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $67.61 | $74.13 | $74.13 |
Where Illinois sits
The same service costs 4.0 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· 32nd of 51
$123
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.