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 $63.10 Median $87.10 Typical High $234.42 | Facility | None | $63.10 | $87.10 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $64.57 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $29.51 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $40.74 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $645.65 | Facility | None | $138.04 | $213.80 | $645.65 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $41.69 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $41.69 | $91.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $398.11 | Facility | None | $91.20 | $131.83 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $75.86 | $120.23 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $39.81 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $69.18 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $263.03 | Professional | None | $77.62 | $117.49 | $263.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $117.49 | Professional | 26 · Professional part | $33.88 | $48.98 | $117.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $66.07 | $154.88 |
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 $89.13 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $89.13 | $91.20 | $95.50 |
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 $85.11 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $85.11 | $112.20 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $69.18 | $114.82 |
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 $31.62 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $14.13 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | FX · Film X-ray | $51.29 | $56.23 | $56.23 |
Where Illinois sits
The same service costs 3.7 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· 24th of 51
$105
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.