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 $162.18 Median $234.42 Typical High $602.56 | Facility | None | $162.18 | $234.42 | $602.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $380.19 | Facility | TC · Technical part | $102.33 | $125.89 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $134.90 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $79.43 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $102.33 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $151.36 | $181.97 | $323.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $1,737.80 | Facility | None | $467.74 | $758.58 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $112.20 | $229.09 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Facility | None | $208.93 | $208.93 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $165.96 | $218.78 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $107.15 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $120.23 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $707.95 | Professional | None | $190.55 | $281.84 | $707.95 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $389.05 | Professional | 26 · Professional part | $87.10 | $128.82 | $389.05 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $354.81 | Professional | TC · Technical part | $102.33 | $151.36 | $354.81 |
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 $223.87 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $223.87 | $229.09 | $245.47 |
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 $186.21 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $186.21 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $131.83 | $204.17 |
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 $81.28 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $131.83 | $144.54 | $144.54 |
Where Illinois sits
The same service costs 5.8 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· 28th of 51
$214
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.