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 $57.54 Median $109.65 Typical High $208.93 | Facility | None | $57.54 | $109.65 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $51.29 Typical High $100.00 | Facility | 26 · Professional part | $29.51 | $51.29 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $52.48 Typical High $104.71 | Facility | TC · Technical part | $28.84 | $52.48 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $56.23 | $64.57 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $30.90 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $27.54 | $35.48 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $52.48 | $69.18 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $602.56 | Facility | None | $154.88 | $218.78 | $602.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $42.66 | $79.43 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $97.72 Typical High $309.03 | Facility | None | $54.95 | $97.72 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $67.61 | $95.50 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $39.81 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $33.88 | $52.48 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $281.84 | Professional | None | $67.61 | $102.33 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $199.53 | Professional | 26 · Professional part | $34.67 | $48.98 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $52.48 Typical High $173.78 | Professional | TC · Technical part | $34.67 | $52.48 | $173.78 |
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 $81.28 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $81.28 | $81.28 | $89.13 |
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 $67.61 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $67.61 | $87.10 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $38.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $45.71 | $69.18 |
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 $28.18 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.22 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $44.67 | $50.12 | $50.12 |
Where Illinois sits
The same service costs 4.7 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· 26th of 51
$87.10
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.