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 $104.71 Median $173.78 Typical High $316.23 | Facility | None | $104.71 | $173.78 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $89.13 | Facility | 26 · Professional part | $31.62 | $51.29 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $269.15 | Facility | TC · Technical part | $74.13 | $128.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $89.13 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $33.88 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $81.28 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $28.84 | $39.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,513.56 | Facility | None | $125.89 | $354.81 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $44.67 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $44.67 | $138.04 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $933.25 | Facility | None | $120.23 | $229.09 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $107.15 | $154.88 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $41.69 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $109.65 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $446.68 | Professional | None | $134.90 | $194.98 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $165.96 | Professional | 26 · Professional part | $37.15 | $54.95 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $144.54 | $316.23 |
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 $158.49 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $158.49 | $162.18 | $173.78 |
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 $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $128.82 | $162.18 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $120.23 | $194.98 |
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 $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 |
Where Illinois sits
The same service costs 3.7 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
$148
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.