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 $51.29 Median $87.10 Typical High $181.97 | Facility | None | $51.29 | $87.10 | $181.97 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $64.57 | Facility | 26 · Professional part | $22.39 | $36.31 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $107.15 | Facility | TC · Technical part | $29.51 | $51.29 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $57.54 Typical High $89.13 | Professional | None (both parts) | $52.48 | $57.54 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $23.99 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $33.88 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $28.84 | $46.77 |
BCBS Illinois Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $851.14 | Facility | None | $125.89 | $269.15 | $851.14 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $32.36 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $32.36 | $70.79 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $104.71 Typical High $380.19 | Facility | None | $45.71 | $104.71 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $51.29 | $77.62 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $30.20 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $47.86 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $47.86 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $275.42 | Professional | None | $67.61 | $93.33 | $275.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $162.18 | Professional | 26 · Professional part | $28.18 | $38.90 | $162.18 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $51.29 Typical High $138.04 | Professional | TC · Technical part | $35.48 | $51.29 | $138.04 |
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 $72.44 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $72.44 | $72.44 | $79.43 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $112.20 | Professional | None (both parts) | $57.54 | $70.79 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $30.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $40.74 | $61.66 |
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 $25.70 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.23 | $11.48 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $40.74 | $45.71 | $45.71 |
Where Illinois sits
The same service costs 3.8 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· 23rd of 51
$74.13
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.