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 $117.49 Median $223.87 Typical High $380.19 | Facility | None | $117.49 | $223.87 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $112.20 | Facility | 26 · Professional part | $34.67 | $66.07 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $295.12 | Facility | TC · Technical part | $81.28 | $154.88 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $52.48 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $37.15 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $15.85 | $91.20 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $1,148.15 | Facility | None | $165.96 | $234.42 | $1,148.15 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $51.29 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $51.29 | $154.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $223.87 Typical High $912.01 | Facility | None | $16.98 | $223.87 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $112.20 | $154.88 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $50.12 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $104.71 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $398.11 | Professional | None | $134.90 | $190.55 | $398.11 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $165.96 | Professional | 26 · Professional part | $41.69 | $60.26 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $134.90 | $257.04 |
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 $162.18 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $162.18 | $165.96 | $177.83 |
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 $61.66 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $61.66 | $128.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $51.29 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $14.79 | $83.18 | $147.91 |
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 $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
Where Illinois sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 21st of 51
$158
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.