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 $138.04 Median $851.14 Typical High $1,737.80 | Facility | None | $138.04 | $851.14 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $144.54 | Facility | 26 · Professional part | $47.86 | $63.10 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $263.03 | Facility | TC · Technical part | $85.11 | $117.49 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $134.90 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $47.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $89.13 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $42.66 | $69.18 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $125.89 Median $512.86 Typical High $1,288.25 | Facility | None | $125.89 | $512.86 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $60.26 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $60.26 | $158.49 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $229.09 Typical High $645.65 | Facility | None | $77.62 | $229.09 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $134.90 | $204.17 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $56.23 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $138.04 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $616.60 | Professional | None | $147.91 | $213.80 | $616.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $257.04 | Professional | 26 · Professional part | $50.12 | $70.79 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $141.25 | $363.08 |
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 $158.49 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $158.49 | $162.18 | $173.78 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $144.54 | $199.53 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $57.54 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $141.25 | $199.53 |
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 $64.57 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $107.15 | $109.65 | $109.65 |
Where Illinois sits
The same service costs 4.3 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· 32nd of 51
$170
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.