How much rates vary
Facilitymedian $200 · 10th to 90th $112 to $851Professionalmedian $129 · 10th to 90th $50 to $209
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 $100.00 Median $141.25 Typical High $245.47 | Facility | None | $100.00 | $141.25 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $56.23 | Facility | 26 · Professional part | $29.51 | $41.69 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $213.80 | Facility | TC · Technical part | $70.79 | $100.00 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $102.33 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $83.18 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $87.10 | $97.72 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $28.84 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $141.25 Median $302.00 Typical High $1,230.27 | Facility | None | $141.25 | $302.00 | $1,230.27 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $42.66 | $128.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $812.83 | Facility | None | $138.04 | $208.93 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $104.71 | $138.04 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $39.81 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $95.50 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $524.81 | Professional | None | $120.23 | $169.82 | $524.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $223.87 | Professional | 26 · Professional part | $36.31 | $50.12 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $83.18 | $120.23 | $302.00 |
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 $141.25 Typical High $154.88 | Professional | None (both parts) | $138.04 | $141.25 | $154.88 |
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 $112.20 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $112.20 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $40.74 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $97.72 | $162.18 |
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 $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | 59 · Distinct service | $87.10 | $87.10 | $123.03 |
Where Illinois sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$132
AK $355FL $97.72
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.