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 $74.13 Median $128.82 Typical High $245.47 | Facility | None | $74.13 | $128.82 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $81.28 | Facility | 26 · Professional part | $24.55 | $44.67 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $162.18 | Facility | TC · Technical part | $50.12 | $85.11 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $66.07 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $50.12 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $870.96 | Facility | None | $208.93 | $338.84 | $870.96 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $33.88 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $33.88 | $93.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $75.86 | $97.72 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $34.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $63.10 | $107.15 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $309.03 | Professional | None | $79.43 | $114.82 | $309.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $117.49 | Professional | 26 · Professional part | $26.92 | $40.74 | $117.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $75.86 | $186.21 |
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 $93.33 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $93.33 | $95.50 | $102.33 |
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 Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $83.18 | $112.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $36.31 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $74.13 | $102.33 |
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 $33.11 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $14.79 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $53.70 | $60.26 | $60.26 |
Where Illinois sits
The same service costs 4.6 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· 27th of 51
$102
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.