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 $213.80 Median $245.47 Typical High $776.25 | Facility | None | $213.80 | $245.47 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $257.04 | Professional | None (both parts) | $213.80 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $28.84 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $223.87 | Professional | TC · Technical part | $186.21 | $213.80 | $223.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $3,235.94 | Facility | None | $489.78 | $758.58 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $2,041.74 | Facility | None | $398.11 | $562.34 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $194.98 | $295.12 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $45.71 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $263.03 | $467.74 |
Hally Health Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $1,023.29 | Professional | None | $223.87 | $346.74 | $1,023.29 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $151.36 | Professional | 26 · Professional part | $33.88 | $50.12 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $891.25 | Professional | TC · Technical part | $194.98 | $309.03 | $891.25 |
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 $288.40 Median $302.00 Typical High $323.59 | Professional | None (both parts) | $288.40 | $302.00 | $323.59 |
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 $263.03 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $263.03 | $371.54 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $45.71 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $323.59 | $467.74 |
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 $107.15 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $48.98 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $173.78 | $194.98 | $194.98 |
Where Illinois sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 19th of 51
$372
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.