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 $144.54 Typical High $691.83 | Facility | None | $102.33 | $144.54 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | None | $93.33 | $102.33 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $426.58 Typical High $1,737.80 | Facility | None | $239.88 | $426.58 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $251.19 | Professional | None | $141.25 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | None | $109.65 | $131.83 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $602.56 | Professional | None | $114.82 | $165.96 | $602.56 |
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 $131.83 Median $134.90 Typical High $144.54 | Professional | None | $131.83 | $134.90 | $144.54 |
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 $109.65 Median $131.83 Typical High $208.93 | Professional | None | $109.65 | $131.83 | $208.93 |
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 $47.86 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $81.28 | $81.28 |
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· 20th of 51
$151
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.