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 $57.54 Median $79.43 Typical High $218.78 | Facility | None | $57.54 | $79.43 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $57.54 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.41 Typical High $7.59 | Professional | 26 · Professional part | $6.92 | $7.41 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $58.88 | $60.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $1,862.09 | Facility | None | $109.65 | $912.01 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $575.44 | Facility | None | $131.83 | $186.21 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $52.48 | $85.11 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $8.13 | $11.22 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $41.69 | $75.86 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $363.08 | Professional | None | $67.61 | $100.00 | $363.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.30 Typical High $53.70 | Professional | 26 · Professional part | $7.94 | $12.30 | $53.70 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $316.23 | Professional | TC · Technical part | $56.23 | $87.10 | $316.23 |
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 $81.28 Median $83.18 Typical High $91.20 | Professional | None (both parts) | $81.28 | $83.18 | $91.20 |
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 $3,090.30 Median $3,090.30 Typical High $3,467.37 | Facility | None | $3,090.30 | $3,090.30 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $67.61 | $97.72 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $11.48 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $87.10 | $117.49 |
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 $28.84 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $28.84 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.18 Typical High $13.49 | Professional | 53 · Discontinued | $11.48 | $13.18 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $45.71 | $52.48 | $52.48 |
Where Illinois sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$100
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.