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 $128.82 Median $2,454.71 Typical High $2,754.23 | Facility | None | $128.82 | $2,454.71 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,041.74 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $37.15 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $2,089.30 | $2,754.23 | $2,754.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $645.65 Median $1,819.70 Typical High $4,897.79 | Facility | None | $645.65 | $1,819.70 | $4,897.79 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $50.12 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $50.12 | $177.83 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,089.30 | Facility | None | $380.19 | $660.69 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $229.09 | $323.59 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $46.77 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $275.42 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $1,148.15 | Professional | None | $331.13 | $489.78 | $1,148.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $208.93 | Professional | 26 · Professional part | $42.66 | $60.26 | $208.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $295.12 | $436.52 | $977.24 |
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 $363.08 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $363.08 | $363.08 | $457.09 |
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 $316.23 Median $1,659.59 Typical High $3,090.30 | Professional | None (both parts) | $316.23 | $1,659.59 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $47.86 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,621.81 Typical High $3,019.95 | Professional | TC · Technical part | $281.84 | $1,621.81 | $3,019.95 |
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 $1,202.26 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,202.26 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $489.78 | $562.34 | $562.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,949.84 | $2,238.72 | $2,238.72 |
Where Illinois sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 36th of 51
$407
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.