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 $134.90 Median $151.36 Typical High $190.55 | Facility | None | $134.90 | $151.36 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $407.38 | Facility | TC · Technical part | $91.20 | $104.71 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $117.49 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $44.67 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $104.71 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $72.44 | $134.90 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $48.98 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $724.44 Median $1,698.24 Typical High $3,715.35 | Facility | None | $724.44 | $1,698.24 | $3,715.35 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $61.66 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $61.66 | $169.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $263.03 Typical High $1,047.13 | Facility | None | $147.91 | $263.03 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $131.83 | $158.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $50.12 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $112.20 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $851.14 | Professional | None | $190.55 | $281.84 | $851.14 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $851.14 | Professional | TC · Technical part | $199.53 | $281.84 | $851.14 |
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 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $141.25 | $181.97 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $128.82 | $213.80 |
1 more rate 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 FX · Film X-ray Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $107.15 | $120.23 | $120.23 |
Where Illinois sits
The same service costs 5.2 times more in Alaska than in New York. 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· 34th of 51
$158
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.