How much rates vary
Facilitymedian $36 · 10th to 90th $9 to $78Professionalmedian $14 · 10th to 90th $10 to $25
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 $4.27 Median $11.22 Typical High $38.02 | Facility | None | $4.27 | $11.22 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $11.22 Typical High $18.20 | Professional | None (both parts) | $10.00 | $11.22 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.41 Typical High $12.30 | Professional | 26 · Professional part | $6.92 | $7.41 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.72 Typical High $6.46 | Professional | TC · Technical part | $3.16 | $3.72 | $6.46 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.91 Median $9.55 Typical High $12.59 | Professional | None (both parts) | $8.91 | $9.55 | $12.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.18 Median $41.69 Typical High $83.18 | Facility | None | $28.18 | $41.69 | $83.18 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $10.23 Median $15.85 Typical High $27.54 | Professional | None (both parts) | $10.23 | $15.85 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $10.96 Typical High $38.90 | Facility | None | $8.51 | $10.96 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.45 Typical High $20.42 | Professional | None (both parts) | $12.02 | $14.45 | $20.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $8.13 | $10.72 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.90 Typical High $6.92 | Professional | TC · Technical part | $3.09 | $4.90 | $6.92 |
Hally Health Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $45.71 | Professional | None | $11.75 | $18.20 | $45.71 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $51.29 | Professional | 26 · Professional part | $8.13 | $12.02 | $51.29 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.75 Typical High $51.29 | Professional | TC · Technical part | $3.89 | $5.75 | $51.29 |
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 $13.49 Median $13.80 Typical High $15.49 | Professional | None (both parts) | $13.49 | $13.80 | $15.49 |
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 $69.18 Median $69.18 Typical High $77.62 | Facility | None | $69.18 | $69.18 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.85 Typical High $23.99 | Professional | None (both parts) | $12.30 | $15.85 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $10.47 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $5.13 Typical High $8.51 | Professional | TC · Technical part | $3.72 | $5.13 | $8.51 |
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 $5.01 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.01 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.00 | $2.24 | $2.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | FX · Film X-ray | $7.94 | $8.91 | $8.91 |
Where Illinois sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 25th of 51
$14.79
AK $35.48FL $9.12
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.