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 $794.33 Median $912.01 Typical High $3,162.28 | Facility | None | $794.33 | $912.01 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $794.33 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $91.20 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $707.95 | $812.83 | $812.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $10,232.93 | Facility | None | $588.84 | $1,513.56 | $10,232.93 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $151.36 Median $436.52 Typical High $2,290.87 | Professional | None (both parts) | $151.36 | $436.52 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,949.84 Typical High $7,762.47 | Facility | None | $933.25 | $1,949.84 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,174.90 Typical High $1,659.59 | Professional | None (both parts) | $288.40 | $1,174.90 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $138.04 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,023.29 Typical High $1,445.44 | Professional | TC · Technical part | $173.78 | $1,023.29 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,754.23 | Professional | None | $758.58 | $1,318.26 | $2,754.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $363.08 | Professional | 26 · Professional part | $107.15 | $158.49 | $363.08 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,174.90 Typical High $2,454.71 | Professional | TC · Technical part | $691.83 | $1,174.90 | $2,454.71 |
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 $1,096.48 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $1,096.48 | $1,122.02 | $1,230.27 |
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 $1,659.59 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,659.59 | $1,659.59 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $912.01 Typical High $1,584.89 | Professional | None (both parts) | $588.84 | $912.01 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $107.15 | $134.90 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $794.33 Typical High $1,380.38 | Professional | TC · Technical part | $549.54 | $794.33 | $1,380.38 |
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 $398.11 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $398.11 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $724.44 Typical High $724.44 | Professional | FX · Film X-ray | $645.65 | $724.44 | $724.44 |
Where Illinois sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 24th of 51
$1,072
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.