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 $186.21 Median $831.76 Typical High $1,621.81 | Facility | None | $186.21 | $831.76 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $173.78 | Facility | 26 · Professional part | $58.88 | $91.20 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $177.83 | Facility | TC · Technical part | $61.66 | $95.50 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $117.49 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $61.66 | $91.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $1,202.26 | Facility | None | $295.12 | $524.81 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $72.44 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $72.44 | $134.90 | $257.04 |
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 $120.23 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $120.23 | $181.97 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $67.61 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $91.20 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $562.34 | Professional | None | $112.20 | $165.96 | $562.34 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $316.23 | Professional | 26 · Professional part | $57.54 | $83.18 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $54.95 | $81.28 | $208.93 |
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 $131.83 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $131.83 | $134.90 | $144.54 |
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 $120.23 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $120.23 | $158.49 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $70.79 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $83.18 | $125.89 |
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 $56.23 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $23.99 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $93.33 | $95.50 | $95.50 |
Where Illinois sits
The same service costs 5.6 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· 25th of 51
$151
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.