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 $14.45 Median $21.38 Typical High $58.88 | Facility | None | $14.45 | $21.38 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | None | $14.45 | $16.60 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $37.15 Median $109.65 Typical High $316.23 | Facility | None | $37.15 | $109.65 | $316.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $41.69 | Professional | None | $11.48 | $21.88 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $89.13 | Professional | None | $19.05 | $29.51 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $323.59 | Professional | None | $19.50 | $30.20 | $323.59 |
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 Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | None | $22.39 | $22.39 | $25.12 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $109.65 | Professional | None | $15.49 | $28.18 | $109.65 |
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 $7.24 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $7.24 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.88 | $3.39 | $3.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.75 Median $13.49 Typical High $13.49 | Professional | FX · Film X-ray | $11.75 | $13.49 | $13.49 |
Where Illinois sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 40th of 51
$27.54
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.