How much rates vary
Facilitymedian $151 · 10th to 90th $56 to $372Professionalmedian $68 · 10th to 90th $35 to $115
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 $39.81 Median $53.70 Typical High $147.91 | Facility | None | $39.81 | $53.70 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $39.81 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $20.89 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $23.44 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $446.68 | Facility | None | $131.83 | $181.97 | $446.68 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.84 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $28.84 | $56.23 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $229.09 | Facility | None | $52.48 | $79.43 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $47.86 | $74.13 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $31.62 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $39.81 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $251.19 | Professional | None | $48.98 | $74.13 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $154.88 | Professional | 26 · Professional part | $23.44 | $35.48 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $24.55 | $38.90 | $120.23 |
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 $54.95 Median $56.23 Typical High $60.26 | Professional | None (both parts) | $54.95 | $56.23 | $60.26 |
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 $48.98 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $48.98 | $75.86 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $30.90 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $25.70 | $42.66 | $66.07 |
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 $19.95 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $19.95 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $8.71 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $31.62 | $35.48 | $35.48 |
Where Illinois sits
The same service costs 4.5 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· 30th of 51
$67.61
AK $141UT $31.62
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.