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 $89.13 Median $117.49 Typical High $302.00 | Facility | None | $89.13 | $117.49 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $102.33 | Facility | TC · Technical part | $25.70 | $33.88 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $81.28 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $63.10 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $22.39 | $25.70 | $45.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $977.24 | Facility | None | $229.09 | $446.68 | $977.24 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $87.10 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $97.72 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $79.43 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $251.19 | Professional | TC · Technical part | $27.54 | $44.67 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $524.81 | Professional | None | $97.72 | $144.54 | $524.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $457.09 | Professional | 26 · Professional part | $70.79 | $97.72 | $457.09 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $40.74 Typical High $269.15 | Professional | TC · Technical part | $28.18 | $40.74 | $269.15 |
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 $114.82 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $114.82 | $117.49 | $123.03 |
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 $95.50 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $95.50 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $25.12 | $36.31 | $83.18 |
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 $40.74 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $17.78 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $64.57 | $70.79 | $70.79 |
Where Illinois sits
The same service costs 5.2 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· 15th of 51
$138
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.