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 $194.98 Median $223.87 Typical High $676.08 | Facility | None | $194.98 | $223.87 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $194.98 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $35.48 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $162.18 | $186.21 | $199.53 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,818.38 | Facility | None | $501.19 | $691.83 | $2,818.38 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $47.86 Median $169.82 Typical High $467.74 | Professional | None (both parts) | $47.86 | $169.82 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,778.28 | Facility | None | $338.84 | $489.78 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $213.80 | $269.15 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $45.71 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $223.87 | $389.05 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $891.25 | Professional | None | $218.78 | $316.23 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $165.96 | Professional | 26 · Professional part | $37.15 | $54.95 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $758.58 | Professional | TC · Technical part | $186.21 | $263.03 | $758.58 |
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 $263.03 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $263.03 | $269.15 | $295.12 |
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 $229.09 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $229.09 | $309.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $50.12 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $263.03 | $398.11 |
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 $97.72 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $44.67 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $158.49 | $177.83 | $177.83 |
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· 23rd of 51
$316
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.