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 $229.09 Median $398.11 Typical High $776.25 | Facility | None | $229.09 | $398.11 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $57.54 Typical High $114.82 | Facility | 26 · Professional part | $33.11 | $57.54 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $707.95 | Facility | TC · Technical part | $194.98 | $346.74 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $190.55 | $251.19 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $35.48 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $218.78 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $251.19 | Professional | None (both parts) | $83.18 | $83.18 | $251.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $3,235.94 | Facility | None | $194.98 | $512.86 | $3,235.94 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $47.86 Median $173.78 Typical High $588.84 | Professional | None (both parts) | $47.86 | $173.78 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $512.86 Typical High $2,137.96 | Facility | None | $257.04 | $512.86 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $186.21 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $45.71 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $147.91 | $269.15 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $741.31 | Professional | None | $229.09 | $371.54 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $151.36 | Professional | 26 · Professional part | $39.81 | $54.95 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $194.98 | $309.03 | $616.60 |
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 $309.03 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $309.03 | $323.59 | $346.74 |
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 Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $363.08 | Facility | None | $316.23 | $316.23 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $190.55 | $281.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $44.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $245.47 | $436.52 |
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 $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $177.83 | $199.53 | $199.53 |
Where Illinois sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 24th of 51
$309
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.