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 $102.33 Median $112.20 Typical High $138.04 | Facility | None | $102.33 | $112.20 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $45.71 | $53.70 | $53.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $851.14 | Facility | None | $173.78 | $371.54 | $851.14 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $83.18 | $151.36 | $269.15 |
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 $123.03 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $123.03 | $147.91 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $77.62 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $69.18 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $371.54 | Professional | None | $134.90 | $194.98 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $66.07 | $93.33 | $245.47 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $97.72 | $190.55 |
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 $154.88 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $154.88 | $158.49 | $181.97 |
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 $131.83 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $131.83 | $154.88 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $77.62 | $123.03 |
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 $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $56.23 | $56.23 |
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 4.5 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
$145
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.