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 $467.74 Median $512.86 Typical High $1,737.80 | Facility | None | $467.74 | $512.86 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $263.03 | $281.84 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $204.17 | $234.42 | $234.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $3,162.28 | Facility | None | $524.81 | $1,096.48 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $2,344.23 | Facility | None | $346.74 | $645.65 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $467.74 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $371.54 Typical High $602.56 | Professional | 26 · Professional part | $309.03 | $371.54 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $288.40 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,819.70 | Professional | None | $549.54 | $794.33 | $1,819.70 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $446.68 Typical High $1,258.93 | Professional | 26 · Professional part | $316.23 | $446.68 | $1,258.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $218.78 | $354.81 | $741.31 |
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 $676.08 Median $676.08 Typical High $741.31 | Professional | None (both parts) | $676.08 | $676.08 | $741.31 |
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 $616.60 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $616.60 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $575.44 | Professional | 26 · Professional part | $295.12 | $363.08 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $208.93 | $257.04 | $426.58 |
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 $234.42 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $93.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $331.13 | $363.08 | $363.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $380.19 | $416.87 | $416.87 |
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· 26th of 51
$661
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.