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 $436.52 Median $501.19 Typical High $1,659.59 | Facility | None | $436.52 | $501.19 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $371.54 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $66.07 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $426.58 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $426.58 | $524.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $870.96 Typical High $5,370.32 | Facility | None | $436.52 | $870.96 | $5,370.32 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $323.59 Typical High $1,202.26 | Professional | None (both parts) | $91.20 | $323.59 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $4,365.16 | Facility | None | $524.81 | $1,096.48 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $218.78 | $616.60 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $91.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $537.03 Typical High $758.58 | Professional | TC · Technical part | $131.83 | $537.03 | $758.58 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $1,412.54 | Professional | None | $436.52 | $758.58 | $1,412.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $107.15 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $660.69 Typical High $1,174.90 | Professional | TC · Technical part | $380.19 | $660.69 | $1,174.90 |
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 $630.96 Median $660.69 Typical High $707.95 | Professional | None (both parts) | $630.96 | $660.69 | $707.95 |
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 $912.01 Median $912.01 Typical High $1,047.13 | Facility | None | $912.01 | $912.01 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $371.54 | $501.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $93.33 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $416.87 | $724.44 |
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 $218.78 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $354.81 | $398.11 | $398.11 |
Where Illinois sits
The same service costs 6.3 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· 25th of 51
$575
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.