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 $147.91 Median $223.87 Typical High $1,071.52 | Facility | None | $147.91 | $223.87 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $331.13 | Professional | None | $138.04 | $162.18 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $245.47 | Professional | None | $125.89 | $128.82 | $245.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $2,754.23 | Facility | None | $354.81 | $630.96 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $398.11 | Professional | None | $223.87 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $323.59 | Professional | None | $169.82 | $208.93 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $1,023.29 | Professional | None | $173.78 | $251.19 | $1,023.29 |
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 $204.17 Median $213.80 Typical High $229.09 | Professional | None | $204.17 | $213.80 | $229.09 |
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 $162.18 Median $204.17 Typical High $316.23 | Professional | None | $162.18 | $204.17 | $316.23 |
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 $74.13 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $120.23 | $128.82 | $128.82 |
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· 18th of 51
$240
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.