How much rates vary
Facilitymedian $195 · 10th to 90th $107 to $832Professionalmedian $120 · 10th to 90th $41 to $195
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 $93.33 Median $128.82 Typical High $245.47 | Facility | None | $93.33 | $128.82 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $45.71 | Facility | 26 · Professional part | $23.99 | $33.88 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $158.49 | Facility | TC · Technical part | $69.18 | $95.50 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $95.50 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $26.30 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $70.79 | $79.43 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $79.43 | $85.11 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $23.44 | $36.31 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $1,174.90 | Facility | None | $134.90 | $281.84 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $34.67 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $34.67 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $776.25 | Facility | None | $138.04 | $208.93 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $128.82 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $31.62 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $91.20 | $128.82 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $407.38 | Professional | None | $109.65 | $158.49 | $407.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $186.21 | Professional | 26 · Professional part | $28.18 | $40.74 | $186.21 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $114.82 | $245.47 |
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 $128.82 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $128.82 | $131.83 | $141.25 |
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 $104.71 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $104.71 | $131.83 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $32.36 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $100.00 | $162.18 |
4 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 $46.77 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 59 · Distinct service | $79.43 | $79.43 | $85.11 |
Where Illinois sits
The same service costs 4.1 times more in Minnesota 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· 29th of 51
$123
MN $363FL $89.13
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.