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 $131.83 Typical High $426.58 | Facility | None | $120.23 | $131.83 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $120.23 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $63.10 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $83.18 | Professional | TC · Technical part | $60.26 | $69.18 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $4,570.88 | Facility | None | $676.08 | $1,230.27 | $4,570.88 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $85.11 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $85.11 | $162.18 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $776.25 | Facility | None | $141.25 | $218.78 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $134.90 | $218.78 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $81.28 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $562.34 | Professional | TC · Technical part | $72.44 | $114.82 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $831.76 | Professional | None | $154.88 | $223.87 | $831.76 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $436.52 | Professional | 26 · Professional part | $74.13 | $104.71 | $436.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $114.82 | $537.03 |
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 $165.96 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $165.96 | $165.96 | $181.97 |
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 $151.36 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $151.36 | $223.87 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $81.28 | $131.83 |
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 $60.26 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $26.92 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $95.50 | $107.15 | $107.15 |
Where Illinois sits
The same service costs 4.5 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· 33rd of 51
$195
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.