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 $416.87 Median $741.31 Typical High $1,513.56 | Facility | None | $416.87 | $741.31 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $354.81 Typical High $691.83 | Facility | 26 · Professional part | $199.53 | $354.81 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $794.33 | Facility | TC · Technical part | $218.78 | $389.05 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $407.38 | $501.19 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $208.93 Typical High $426.58 | Professional | 26 · Professional part | $199.53 | $208.93 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $208.93 | $288.40 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $169.82 | $177.83 | $281.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,398.83 | $4,897.79 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $295.12 | $575.44 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $2,398.83 | Facility | None | $426.58 | $758.58 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $741.31 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $234.42 | $275.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $398.11 Typical High $1,258.93 | Professional | TC · Technical part | $257.04 | $398.11 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $3,890.45 | Professional | None | $489.78 | $741.31 | $3,890.45 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $338.84 Typical High $1,548.82 | Professional | 26 · Professional part | $234.42 | $338.84 | $1,548.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $2,089.30 | Professional | TC · Technical part | $257.04 | $407.38 | $2,089.30 |
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 $575.44 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $575.44 | $588.84 | $630.96 |
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 $3,311.31 Median $3,311.31 Typical High $3,715.35 | Facility | None | $3,311.31 | $3,311.31 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $1,348.96 | Professional | None (both parts) | $501.19 | $676.08 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $229.09 | $281.84 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $363.08 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $363.08 | $794.33 |
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 $204.17 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $204.17 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $89.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $323.59 | $363.08 | $363.08 |
Where Illinois sits
The same service costs 4.9 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· 32nd of 51
$646
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.