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 $223.87 Median $316.23 Typical High $794.33 | Facility | None | $223.87 | $316.23 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $645.65 | Facility | TC · Technical part | $173.78 | $213.80 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $194.98 | $251.19 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $74.13 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $173.78 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $177.83 | $245.47 | $512.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $281.84 Median $776.25 Typical High $2,570.40 | Facility | None | $281.84 | $776.25 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $102.33 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $102.33 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,698.24 | Facility | None | $302.00 | $501.19 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $177.83 | $281.84 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $97.72 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $199.53 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $741.31 | Professional | None | $245.47 | $371.54 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $120.23 | $251.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $251.19 | $489.78 |
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 $302.00 Median $309.03 Typical High $331.13 | Professional | None (both parts) | $302.00 | $309.03 | $331.13 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $208.93 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $95.50 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $128.82 | $194.98 | $346.74 |
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 $109.65 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $177.83 | $199.53 | $199.53 |
Where Illinois sits
The same service costs 5.0 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· 31st of 51
$275
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.