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 $85.11 Median $107.15 Typical High $275.42 | Facility | None | $85.11 | $107.15 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $147.91 | Facility | TC · Technical part | $39.81 | $48.98 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $77.62 | $85.11 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $44.67 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $34.67 | $39.81 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $60.26 | $89.13 | $158.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $912.01 | Facility | None | $239.88 | $407.38 | $912.01 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $61.66 | $112.20 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Facility | None | $91.20 | $91.20 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $89.13 | $114.82 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $58.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $39.81 | $56.23 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $478.63 | Professional | None | $91.20 | $134.90 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $316.23 | Professional | 26 · Professional part | $48.98 | $72.44 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $239.88 | Professional | TC · Technical part | $41.69 | $63.10 | $239.88 |
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 $104.71 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $104.71 | $104.71 | $112.20 |
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 Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $114.82 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $57.54 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $56.23 | $81.28 |
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 $38.02 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $38.02 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.14 | $16.98 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $60.26 | $67.61 | $67.61 |
Where Illinois sits
The same service costs 4.2 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· 20th of 51
$112
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.