How much rates vary
Facilitymedian $200 · 10th to 90th $112 to $955Professionalmedian $135 · 10th to 90th $74 to $224
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 $97.72 Median $138.04 Typical High $251.19 | Facility | None | $97.72 | $138.04 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $66.07 | Facility | 26 · Professional part | $33.88 | $47.86 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $151.36 | Facility | TC · Technical part | $64.57 | $89.13 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $102.33 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $36.31 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $74.13 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $85.11 | $85.11 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $33.11 | $46.77 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $346.74 Typical High $1,445.44 | Facility | None | $151.36 | $346.74 | $1,445.44 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $48.98 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $48.98 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $724.44 | Facility | None | $128.82 | $199.53 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $117.49 | $134.90 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $46.77 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $89.13 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $446.68 | Professional | None | $123.03 | $173.78 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $223.87 | Professional | 26 · Professional part | $40.74 | $58.88 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $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 $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
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 $123.03 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $123.03 | $154.88 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $107.15 | $158.49 |
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 $50.12 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $50.12 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $22.39 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $79.43 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 59 · Distinct service | $85.11 | $85.11 | $93.33 |
Where Illinois sits
The same service costs 3.8 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· 31st of 51
$135
AK $355TX $93.33
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.