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 $177.83 Typical High $346.74 | Facility | None | $114.82 | $177.83 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $177.83 | Facility | 26 · Professional part | $53.70 | $81.28 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $199.53 | Facility | TC · Technical part | $63.10 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $104.71 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $53.70 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $63.10 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $2,344.23 | Facility | None | $616.60 | $1,174.90 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $74.13 | $144.54 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $691.83 | Facility | None | $128.82 | $194.98 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $630.96 | Professional | None (both parts) | $120.23 | $194.98 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $107.15 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $912.01 | Professional | None | $131.83 | $190.55 | $912.01 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $436.52 | Professional | 26 · Professional part | $60.26 | $83.18 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $588.84 | Professional | TC · Technical part | $70.79 | $102.33 | $588.84 |
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 $141.25 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $141.25 | $141.25 | $154.88 |
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 $3,715.35 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,715.35 | $3,715.35 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $131.83 | $204.17 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $64.57 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $75.86 | $125.89 | $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 $51.29 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $23.44 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Where Illinois sits
The same service costs 4.8 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· 30th of 51
$174
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.