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 $575.44 Median $645.65 Typical High $2,041.74 | Facility | None | $575.44 | $645.65 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $575.44 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $512.86 | $575.44 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $1,445.44 Typical High $8,912.51 | Facility | None | $436.52 | $1,445.44 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $5,623.41 | Facility | None | $676.08 | $1,548.82 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $776.25 Typical High $1,288.25 | Professional | None (both parts) | $213.80 | $776.25 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $91.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $707.95 Typical High $1,258.93 | Professional | TC · Technical part | $131.83 | $707.95 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $3,388.44 | Professional | None | $537.03 | $933.25 | $3,388.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $416.87 | Professional | 26 · Professional part | $72.44 | $104.71 | $416.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $851.14 Typical High $3,019.95 | Professional | TC · Technical part | $537.03 | $851.14 | $3,019.95 |
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 $776.25 Median $812.83 Typical High $870.96 | Professional | None (both parts) | $776.25 | $812.83 | $870.96 |
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 $501.19 Median $776.25 Typical High $1,288.25 | Professional | None (both parts) | $501.19 | $776.25 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $91.20 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $691.83 Typical High $1,174.90 | Professional | TC · Technical part | $501.19 | $691.83 | $1,174.90 |
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 $288.40 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | FX · Film X-ray | $457.09 | $512.86 | $512.86 |
Where Illinois sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 31st of 51
$794
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.