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 $181.97 Median $204.17 Typical High $630.96 | Facility | None | $181.97 | $204.17 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $181.97 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $173.78 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $2,570.40 | Facility | None | $354.81 | $588.84 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $41.69 Median $147.91 Typical High $446.68 | Professional | None (both parts) | $41.69 | $147.91 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $1,659.59 | Facility | None | $309.03 | $457.09 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $147.91 | $239.88 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $38.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $109.65 | $204.17 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $812.83 | Professional | None | $186.21 | $288.40 | $812.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $147.91 | Professional | 26 · Professional part | $32.36 | $47.86 | $147.91 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $676.08 | Professional | TC · Technical part | $158.49 | $245.47 | $676.08 |
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 $245.47 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $245.47 | $251.19 | $269.15 |
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 $954.99 Median $954.99 Typical High $1,071.52 | Facility | None | $954.99 | $954.99 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $186.21 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $42.66 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $229.09 | $354.81 |
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 $91.20 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $40.74 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $144.54 | $165.96 | $165.96 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
$263
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.