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 $35.48 Median $53.70 Typical High $114.82 | Facility | None | $35.48 | $53.70 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $38.02 | Facility | 26 · Professional part | $12.88 | $19.50 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $81.28 | Facility | TC · Technical part | $22.39 | $34.67 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $30.90 | $38.02 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $12.88 | $14.13 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $23.99 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $64.57 | Professional | None (both parts) | $26.92 | $31.62 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $18.20 | $21.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $363.08 | Facility | None | $85.11 | $141.25 | $363.08 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $19.05 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $19.05 | $44.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $33.11 | $43.65 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $19.50 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $27.54 | $41.69 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $141.25 | Professional | None | $40.74 | $60.26 | $141.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $85.11 | Professional | 26 · Professional part | $14.45 | $20.89 | $85.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $95.50 | Professional | TC · Technical part | $24.55 | $35.48 | $95.50 |
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 $45.71 Median $45.71 Typical High $50.12 | Professional | None (both parts) | $45.71 | $45.71 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.12 Median $15.14 Typical High $25.12 | Professional | None (both parts) | $9.12 | $15.14 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $33.11 | $43.65 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $17.78 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $25.70 | $40.74 |
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 $16.98 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.76 | $7.59 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $26.92 | $30.20 | $30.20 |
Where Illinois sits
The same service costs 4.1 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· 29th of 51
$39.81
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.