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 $109.65 Median $128.82 Typical High $389.05 | Facility | None | $109.65 | $128.82 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $109.65 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $54.95 | Professional | 26 · Professional part | $47.86 | $51.29 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $72.44 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $2,041.74 | Facility | None | $691.83 | $933.25 | $2,041.74 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $69.18 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $69.18 | $151.36 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $794.33 | Facility | None | $138.04 | $223.87 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $123.03 | $199.53 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $562.34 | Professional | TC · Technical part | $74.13 | $117.49 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $758.58 | Professional | None | $141.25 | $204.17 | $758.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $354.81 | Professional | 26 · Professional part | $60.26 | $83.18 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $524.81 | Professional | TC · Technical part | $81.28 | $117.49 | $524.81 |
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 $154.88 Typical High $165.96 | Professional | None (both parts) | $151.36 | $154.88 | $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 $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $141.25 | $234.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $354.81 | Professional | TC · Technical part | $83.18 | $138.04 | $354.81 |
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 $54.95 Median $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $61.66 | $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 $89.13 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $100.00 | $100.00 |
Where Illinois sits
The same service costs 4.9 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· 33rd of 51
$182
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.