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 $776.25 Median $851.14 Typical High $2,884.03 | Facility | None | $776.25 | $851.14 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $741.31 | $851.14 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $426.58 Typical High $676.08 | Professional | 26 · Professional part | $407.38 | $426.58 | $676.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $426.58 | $562.34 |
BCBS Illinois Setting Facility Modifier None Typical Low $741.31 Median $1,862.09 Typical High $5,495.41 | Facility | None | $741.31 | $1,862.09 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,122.02 Typical High $2,089.30 | Professional | None (both parts) | $602.56 | $1,122.02 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $4,365.16 | Facility | None | $512.86 | $1,096.48 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,096.48 Typical High $1,698.24 | Professional | None (both parts) | $831.76 | $1,096.48 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $630.96 Typical High $912.01 | Professional | 26 · Professional part | $489.78 | $630.96 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $218.78 | $524.81 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,570.40 | Professional | None | $933.25 | $1,318.26 | $2,570.40 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $741.31 Typical High $1,513.56 | Professional | 26 · Professional part | $489.78 | $741.31 | $1,513.56 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $645.65 Typical High $1,258.93 | Professional | TC · Technical part | $363.08 | $645.65 | $1,258.93 |
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 $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $1,122.02 | $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 $851.14 Median $1,047.13 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $1,047.13 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $645.65 Typical High $891.25 | Professional | 26 · Professional part | $467.74 | $645.65 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $407.38 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $407.38 | $741.31 |
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 $389.05 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $389.05 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $154.88 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $549.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $691.83 Typical High $691.83 | Professional | FX · Film X-ray | $616.60 | $691.83 | $691.83 |
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· 30th 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.