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 $48.98 Median $66.07 Typical High $177.83 | Facility | None | $48.98 | $66.07 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $48.98 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $33.11 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $20.89 | $38.90 |
BCBS Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $549.54 | Facility | None | $131.83 | $218.78 | $549.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $44.67 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $81.28 Typical High $204.17 | Facility | None | $45.71 | $81.28 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $57.54 | $89.13 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $53.70 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $95.50 | Professional | TC · Technical part | $20.89 | $35.48 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $269.15 | Professional | None | $58.88 | $91.20 | $269.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $56.23 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $114.82 | Professional | TC · Technical part | $22.39 | $33.88 | $114.82 |
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 $67.61 Median $69.18 Typical High $72.44 | Professional | None (both parts) | $67.61 | $69.18 | $72.44 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $61.66 | $100.00 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $52.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $26.30 | $44.67 | $77.62 |
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 $24.55 Median $26.92 Typical High $28.84 | Professional | 52 · Reduced service | $24.55 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $10.72 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $38.90 | $42.66 | $42.66 |
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· 35th of 51
$81.28
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.