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 $151.36 Median $257.04 Typical High $457.09 | Facility | None | $151.36 | $257.04 | $457.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $186.21 | Facility | 26 · Professional part | $60.26 | $97.72 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $323.59 | Facility | TC · Technical part | $91.20 | $154.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $120.23 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $60.26 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $91.20 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $295.12 Typical High $1,230.27 | Facility | None | $134.90 | $295.12 | $1,230.27 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $93.33 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $93.33 | $213.80 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $263.03 Typical High $1,000.00 | Facility | None | $123.03 | $263.03 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $120.23 | $186.21 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $75.86 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $61.66 | $114.82 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $512.86 | Professional | None | $165.96 | $263.03 | $512.86 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $100.00 | $263.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $162.18 | $288.40 |
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 $213.80 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $213.80 | $218.78 | $239.88 |
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 $125.89 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $125.89 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $93.33 | $158.49 |
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 $67.61 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $107.15 | $123.03 | $123.03 |
Where Illinois sits
The same service costs 4.9 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
$162
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.