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 $40.74 Median $56.23 Typical High $151.36 | Facility | None | $40.74 | $56.23 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $100.00 | Professional | None (both parts) | $41.69 | $45.71 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $28.18 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.98 Typical High $44.67 | Professional | TC · Technical part | $15.14 | $16.98 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None (both parts) | $38.02 | $38.02 | $39.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $457.09 | Facility | None | $134.90 | $208.93 | $457.09 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $38.90 | $63.10 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $169.82 | Facility | None | $38.02 | $67.61 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $48.98 | $77.62 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $39.81 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $29.51 Typical High $100.00 | Professional | TC · Technical part | $17.38 | $29.51 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $281.84 | Professional | None | $50.12 | $77.62 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $234.42 | Professional | 26 · Professional part | $31.62 | $46.77 | $234.42 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $169.82 | Professional | TC · Technical part | $18.62 | $28.18 | $169.82 |
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 $57.54 Median $57.54 Typical High $61.66 | Professional | None (both parts) | $57.54 | $57.54 | $61.66 |
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 $53.70 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $53.70 | $91.20 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $52.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $21.88 | $37.15 | $64.57 |
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 $20.42 Median $22.39 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $8.13 | $9.12 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $33.11 | $36.31 | $36.31 |
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· 33rd of 51
$70.79
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.