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 $104.71 Median $144.54 Typical High $371.54 | Facility | None | $104.71 | $144.54 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $208.93 | Facility | TC · Technical part | $57.54 | $81.28 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $104.71 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $50.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $66.07 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $64.57 | $64.57 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $4,570.88 | Facility | None | $630.96 | $1,202.26 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $67.61 | $144.54 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $741.31 | Facility | None | $134.90 | $208.93 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $630.96 | Professional | None (both parts) | $120.23 | $190.55 | $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 $67.61 Median $109.65 Typical High $562.34 | Professional | TC · Technical part | $67.61 | $109.65 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $933.25 | Professional | None | $134.90 | $194.98 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $446.68 | Professional | 26 · Professional part | $57.54 | $81.28 | $446.68 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $588.84 | Professional | TC · Technical part | $75.86 | $109.65 | $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 $144.54 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $144.54 | $144.54 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None (both parts) | $33.11 | $33.11 | $52.48 |
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 $134.90 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $134.90 | $213.80 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $77.62 | $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 $51.29 Median $57.54 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $23.44 | $27.54 |
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 4.9 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
$170
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.