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 $134.90 Median $223.87 Typical High $588.84 | Facility | None | $134.90 | $223.87 | $588.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $380.19 | Facility | TC · Technical part | $93.33 | $141.25 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $134.90 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $58.88 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $93.33 | $144.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $4,570.88 | Facility | None | $645.65 | $1,380.38 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $91.20 | $213.80 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $912.01 | Facility | None | $141.25 | $316.23 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $147.91 | $281.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $70.79 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $100.00 | $186.21 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $776.25 | Professional | None | $177.83 | $269.15 | $776.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $316.23 | Professional | 26 · Professional part | $69.18 | $97.72 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $575.44 | Professional | TC · Technical part | $114.82 | $165.96 | $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 $194.98 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $194.98 | $199.53 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | None (both parts) | $33.11 | $33.11 | $125.89 |
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 $177.83 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $177.83 | $251.19 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $158.49 | $331.13 |
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 $67.61 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $30.90 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $107.15 | $123.03 | $123.03 |
Where Illinois sits
The same service costs 3.8 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· 22nd of 51
$245
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.