How much rates vary
Facilitymedian $324 · 10th to 90th $141 to $851Professionalmedian $129 · 10th to 90th $54 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 $109.65 Median $141.25 Typical High $363.08 | Facility | None | $109.65 | $141.25 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $288.40 | Facility | TC · Technical part | $77.62 | $95.50 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $100.00 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $32.36 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $77.62 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $91.20 | $131.83 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $1,174.90 | Facility | None | $281.84 | $371.54 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $45.71 | $117.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $758.58 | Facility | None | $128.82 | $204.17 | $758.58 |
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 $32.36 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $40.74 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $91.20 | $128.82 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $436.52 | Professional | None | $117.49 | $165.96 | $436.52 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $181.97 | Professional | 26 · Professional part | $37.15 | $52.48 | $181.97 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $114.82 | $257.04 |
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 $134.90 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $134.90 | $138.04 | $147.91 |
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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $114.82 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $97.72 | $151.36 |
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 $48.98 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $79.43 | $89.13 | $89.13 |
Where Illinois sits
The same service costs 3.9 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· 28th of 51
$132
AK $347TX $89.13
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.