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 $380.19 Median $616.60 Typical High $1,230.27 | Facility | None | $380.19 | $616.60 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $251.19 | Facility | 26 · Professional part | $74.13 | $128.82 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $1,096.48 | Facility | TC · Technical part | $302.00 | $562.34 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $380.19 | $478.63 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $77.62 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $302.00 | $398.11 | $660.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
BCBS Illinois Setting Facility Modifier None Typical Low $537.03 Median $1,230.27 Typical High $5,370.32 | Facility | None | $537.03 | $1,230.27 | $5,370.32 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $107.15 Median $380.19 Typical High $977.24 | Professional | None (both parts) | $107.15 | $380.19 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $3,388.44 | Facility | None | $407.38 | $851.14 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $363.08 | $512.86 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $100.00 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $426.58 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $1,737.80 | Professional | None | $416.87 | $616.60 | $1,737.80 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $398.11 | Professional | 26 · Professional part | $87.10 | $120.23 | $398.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $1,380.38 | Professional | TC · Technical part | $338.84 | $512.86 | $1,380.38 |
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 $512.86 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $512.86 | $537.03 | $575.44 |
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 $891.25 Median $891.25 Typical High $1,000.00 | Facility | None | $891.25 | $891.25 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $478.63 | $588.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $512.86 Typical High $758.58 | Professional | TC · Technical part | $398.11 | $512.86 | $758.58 |
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 $190.55 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $302.00 | $338.84 | $338.84 |
Where Illinois sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 26th of 51
$562
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.