How much rates vary
Facilitymedian $794 · 10th to 90th $309 to $2,344Professionalmedian $457 · 10th to 90th $324 to $832
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 $354.81 Median $389.05 Typical High $1,318.26 | Facility | None | $354.81 | $389.05 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $177.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $204.17 | $204.17 |
BCBS Illinois Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $2,754.23 | Facility | None | $363.08 | $851.14 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $588.84 Typical High $2,041.74 | Facility | None | $309.03 | $588.84 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $309.03 | $489.78 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $398.11 | Professional | 26 · Professional part | $199.53 | $245.47 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $107.15 | $251.19 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,380.38 | Professional | None | $389.05 | $602.56 | $1,380.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $302.00 Typical High $851.14 | Professional | 26 · Professional part | $213.80 | $302.00 | $851.14 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $194.98 | $302.00 | $645.65 |
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 $512.86 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $512.86 | $512.86 | $562.34 |
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 $371.54 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $371.54 | $446.68 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $380.19 | Professional | 26 · Professional part | $194.98 | $239.88 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $218.78 | $371.54 |
4 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 $177.83 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $177.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | FX · Film X-ray | $288.40 | $316.23 | $316.23 |
Where Illinois sits
The same service costs 5.6 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· 27th of 51
$501
AK $1,698FL $302
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.