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 $1.45 Median $2.29 Typical High $13.18 | Facility | None | $1.45 | $2.29 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $13.18 Typical High $16.98 | Professional | None | $2.24 | $13.18 | $16.98 |
BCBS Illinois Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $257.04 | Facility | None | $39.81 | $69.18 | $257.04 |
BCBS Illinois Setting Professional Modifier None Typical Low $1.91 Median $2.45 Typical High $2.88 | Professional | None | $1.91 | $2.45 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $38.02 | Professional | None | $9.55 | $20.42 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $100.00 | Professional | None | $16.98 | $25.12 | $100.00 |
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 $19.05 Median $19.05 Typical High $21.88 | Professional | None | $19.05 | $19.05 | $21.88 |
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 Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $27.54 | Professional | None | $11.75 | $16.98 | $27.54 |
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 $5.75 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $5.75 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.29 | $2.63 | $2.63 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.12 Median $10.47 Typical High $10.47 | Professional | FX · Film X-ray | $9.12 | $10.47 | $10.47 |
Where Illinois sits
The same service costs 5.5 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· 49th of 51
$13.18
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.