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 $83.18 Median $134.90 Typical High $288.40 | Facility | None | $83.18 | $134.90 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $134.90 | Professional | None | $47.86 | $83.18 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $1,174.90 | Facility | None | $151.36 | $208.93 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $204.17 | Professional | None | $120.23 | $141.25 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $1,174.90 | Facility | None | $141.25 | $316.23 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $162.18 | Professional | None | $77.62 | $123.03 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $281.84 | Professional | None | $89.13 | $134.90 | $281.84 |
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 Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | None | $107.15 | $109.65 | $120.23 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $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 Typical Low $51.29 Median $100.00 Typical High $154.88 | Professional | None | $51.29 | $100.00 | $154.88 |
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 $36.31 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.45 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $57.54 | $66.07 | $66.07 |
Where Illinois sits
The same service costs 4.5 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· 16th of 51
$135
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.