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 $53.70 Median $81.28 Typical High $158.49 | Facility | None | $53.70 | $81.28 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $48.98 | Facility | 26 · Professional part | $25.12 | $38.90 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $102.33 | Facility | TC · Technical part | $28.18 | $42.66 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $48.98 | $54.95 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $26.30 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $28.18 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $39.81 | $52.48 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $616.60 | Facility | None | $134.90 | $213.80 | $616.60 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $37.15 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $37.15 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $281.84 | Facility | None | $66.07 | $109.65 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $58.88 | $87.10 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $52.48 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $331.13 | Professional | None | $61.66 | $93.33 | $331.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $181.97 | Professional | 26 · Professional part | $28.84 | $41.69 | $181.97 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $165.96 | Professional | TC · Technical part | $31.62 | $48.98 | $165.96 |
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 $69.18 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $69.18 | $70.79 | $75.86 |
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 $75.86 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $75.86 | $97.72 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $66.07 | $95.50 |
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 $24.55 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $9.77 | $10.96 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $39.81 | $43.65 | $43.65 |
Where Illinois sits
The same service costs 4.1 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· 30th of 51
$81.28
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.