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 $128.82 Median $213.80 Typical High $436.52 | Facility | None | $128.82 | $213.80 | $436.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $158.49 Typical High $323.59 | Facility | 26 · Professional part | $95.50 | $158.49 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $120.23 | Facility | TC · Technical part | $30.90 | $53.70 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $120.23 | $147.91 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $100.00 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $102.33 | Professional | TC · Technical part | $26.92 | $34.67 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $131.83 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $1,819.70 | Facility | None | $389.05 | $794.33 | $1,819.70 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $138.04 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $416.87 | Facility | None | $53.70 | $89.13 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $616.60 | Professional | None (both parts) | $147.91 | $223.87 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $131.83 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $501.19 | Professional | TC · Technical part | $38.90 | $60.26 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $1,380.38 | Professional | None | $151.36 | $223.87 | $1,380.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $1,174.90 | Professional | 26 · Professional part | $112.20 | $162.18 | $1,174.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $794.33 | Professional | TC · Technical part | $39.81 | $61.66 | $794.33 |
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 $177.83 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $177.83 | $177.83 | $190.55 |
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 $1,318.26 Median $1,318.26 Typical High $1,479.11 | Facility | None | $1,318.26 | $1,318.26 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $138.04 | $199.53 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $128.82 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $46.77 Typical High $269.15 | Professional | TC · Technical part | $26.92 | $46.77 | $269.15 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $104.71 | $104.71 |
Where Illinois sits
The same service costs 5.1 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· 29th of 51
$209
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.