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 $120.23 Median $158.49 Typical High $407.38 | Facility | None | $120.23 | $158.49 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $263.03 | Facility | TC · Technical part | $69.18 | $89.13 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $107.15 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $47.86 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $69.18 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS Illinois Setting Facility Modifier None Typical Low $645.65 Median $1,230.27 Typical High $4,570.88 | Facility | None | $645.65 | $1,230.27 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $72.44 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $72.44 | $154.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $776.25 | Facility | None | $138.04 | $218.78 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $123.03 | $208.93 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $66.07 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $562.34 | Professional | TC · Technical part | $72.44 | $120.23 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $891.25 | Professional | None | $141.25 | $204.17 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $436.52 | Professional | 26 · Professional part | $61.66 | $85.11 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $575.44 | Professional | TC · Technical part | $81.28 | $117.49 | $575.44 |
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 $151.36 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $151.36 | $151.36 | $165.96 |
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 $141.25 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $141.25 | $208.93 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $66.07 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $81.28 | $131.83 | $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 $53.70 Median $60.26 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $24.55 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $97.72 | $97.72 |
Where Illinois sits
The same service costs 4.1 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· 34th 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.