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 $117.49 Typical High $177.83 | Facility | None | $85.11 | $117.49 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $52.48 | Facility | 26 · Professional part | $26.92 | $38.02 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $173.78 | Facility | TC · Technical part | $57.54 | $79.43 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $87.10 | $97.72 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $29.51 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $67.61 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $83.18 | Professional | None (both parts) | $66.07 | $81.28 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $26.30 | $41.69 |
BCBS Illinois Setting Facility Modifier None Typical Low $138.04 Median $281.84 Typical High $1,000.00 | Facility | None | $138.04 | $281.84 | $1,000.00 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $39.81 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $177.83 Typical High $645.65 | Facility | None | $61.66 | $177.83 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $89.13 | $114.82 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $37.15 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $72.44 | $107.15 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $398.11 | Professional | None | $104.71 | $151.36 | $398.11 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $165.96 | Professional | 26 · Professional part | $31.62 | $46.77 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $100.00 | $234.42 |
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 $117.49 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $117.49 | $120.23 | $128.82 |
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 $93.33 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $93.33 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $37.15 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $95.50 | $144.54 |
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 $42.66 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $69.18 | $77.62 | $77.62 |
Where Illinois sits
The same service costs 4.2 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· 24th of 51
$117
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.