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 $91.20 Median $120.23 Typical High $323.59 | Facility | None | $91.20 | $120.23 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $269.15 | Facility | TC · Technical part | $60.26 | $93.33 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $91.20 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $29.51 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $70.79 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $138.04 Median $691.83 Typical High $1,174.90 | Facility | None | $138.04 | $691.83 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $42.66 | $123.03 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $794.33 | Facility | None | $158.49 | $223.87 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $79.43 | $120.23 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $39.81 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $41.69 | $81.28 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $602.56 | Professional | None | $107.15 | $162.18 | $602.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $218.78 | Professional | 26 · Professional part | $37.15 | $52.48 | $218.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $398.11 | Professional | TC · Technical part | $72.44 | $112.20 | $398.11 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
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 $107.15 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $107.15 | $141.25 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $102.33 | $162.18 |
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 $45.71 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $20.89 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $83.18 | $83.18 |
Where Illinois sits
The same service costs 4.6 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· 31st of 51
$126
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.