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 $128.82 Median $407.38 Typical High $467.74 | Facility | None | $128.82 | $407.38 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $354.81 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $36.31 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $416.87 | Professional | TC · Technical part | $316.23 | $371.54 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $5,888.44 | Facility | None | $1,071.52 | $1,862.09 | $5,888.44 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $48.98 Median $151.36 Typical High $954.99 | Professional | None (both parts) | $48.98 | $151.36 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $416.87 | $562.34 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $380.19 | $524.81 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,949.84 | Professional | None | $537.03 | $794.33 | $1,949.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $204.17 | Professional | 26 · Professional part | $39.81 | $56.23 | $204.17 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $758.58 Typical High $1,778.28 | Professional | TC · Technical part | $524.81 | $758.58 | $1,778.28 |
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 $630.96 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $630.96 | $645.65 | $812.83 |
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 Professional Modifier None (both parts) Typical Low $512.86 Median $660.69 Typical High $1,000.00 | Professional | None (both parts) | $512.86 | $660.69 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $48.98 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $602.56 Typical High $954.99 | Professional | TC · Technical part | $467.74 | $602.56 | $954.99 |
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 $173.78 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $281.84 | $323.59 | $323.59 |
Where Illinois sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 19th of 51
$589
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.