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 $66.07 Median $117.49 Typical High $457.09 | Facility | None | $66.07 | $117.49 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $107.15 | Professional | None | $61.66 | $66.07 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $281.84 Typical High $1,122.02 | Facility | None | $158.49 | $281.84 | $1,122.02 |
BCBS Illinois Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | None | $91.20 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $138.04 | Professional | None | $72.44 | $87.10 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $398.11 | Professional | None | $74.13 | $107.15 | $398.11 |
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 Typical Low $85.11 Median $87.10 Typical High $93.33 | Professional | None | $85.11 | $87.10 | $93.33 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $134.90 | Professional | None | $74.13 | $89.13 | $134.90 |
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 $30.90 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $30.90 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $50.12 | $53.70 | $53.70 |
Where Illinois sits
The same service costs 4.2 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· 17th of 51
$100
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.