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 $128.82 Median $158.49 Typical High $199.53 | Facility | None | $128.82 | $158.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $51.29 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $100.00 | $107.15 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $1,202.26 | Facility | None | $331.13 | $616.60 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $144.54 | $213.80 | $251.19 |
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 $169.82 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $169.82 | $199.53 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $114.82 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $85.11 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $645.65 | Professional | None | $186.21 | $275.42 | $645.65 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $537.03 | Professional | 26 · Professional part | $107.15 | $151.36 | $537.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $114.82 | $281.84 |
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 $204.17 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $204.17 | $218.78 | $263.03 |
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 $181.97 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $181.97 | $213.80 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $117.49 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $74.13 | $97.72 | $147.91 |
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 $70.79 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $112.20 | $125.89 | $125.89 |
Where Illinois sits
The same service costs 4.2 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· 21st of 51
$200
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.