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 $83.18 Median $95.50 Typical High $128.82 | Facility | None | $83.18 | $95.50 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $83.18 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $35.48 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $58.88 | $67.61 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $851.14 | Facility | None | $165.96 | $323.59 | $851.14 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $43.65 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $43.65 | $107.15 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $97.72 | $107.15 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $39.81 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $69.18 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $354.81 | Professional | None | $107.15 | $151.36 | $354.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $151.36 | Professional | 26 · Professional part | $37.15 | $52.48 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $69.18 | $100.00 | $223.87 |
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 $123.03 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $123.03 | $123.03 | $151.36 |
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 Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $97.72 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $42.66 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $81.28 | $128.82 |
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 $41.69 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $66.07 | $75.86 | $75.86 |
Where Illinois sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 23rd 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.