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 $81.28 Median $114.82 Typical High $295.12 | Facility | None | $81.28 | $114.82 | $295.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $120.23 | Facility | 26 · Professional part | $33.88 | $47.86 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $173.78 | Facility | TC · Technical part | $48.98 | $66.07 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $83.18 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $35.48 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $51.29 | $56.23 | $83.18 |
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 $204.17 Median $371.54 Typical High $1,000.00 | Facility | None | $204.17 | $371.54 | $1,000.00 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $50.12 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $50.12 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $104.71 | $128.82 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $40.74 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $83.18 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $371.54 | Professional | None | $97.72 | $138.04 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $173.78 | Professional | 26 · Professional part | $39.81 | $53.70 | $173.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $57.54 | $81.28 | $234.42 |
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 $112.20 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $112.20 | $114.82 | $123.03 |
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 $100.00 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $100.00 | $120.23 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $81.28 | $117.49 |
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 $41.69 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $66.07 | $72.44 | $72.44 |
Where Illinois sits
The same service costs 4.5 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· 20th of 51
$123
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.