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 $58.88 Median $81.28 Typical High $223.87 | Facility | None | $58.88 | $81.28 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $69.18 | Professional | None (both parts) | $58.88 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $9.12 | Professional | 26 · Professional part | $8.51 | $8.91 | $9.12 |
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 $181.97 Median $575.44 Typical High $977.24 | Facility | None | $181.97 | $575.44 | $977.24 |
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 $72.44 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $72.44 | $91.20 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $9.55 | $13.18 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $79.43 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $363.08 | Professional | None | $72.44 | $104.71 | $363.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $63.10 | Professional | 26 · Professional part | $9.55 | $14.79 | $63.10 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $316.23 | Professional | TC · Technical part | $61.66 | $89.13 | $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 $83.18 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $83.18 | $85.11 | $93.33 |
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 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 $74.13 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $74.13 | $102.33 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $14.13 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $89.13 | $114.82 |
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 $29.51 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $13.49 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $47.86 | $53.70 | $53.70 |
Where Illinois sits
The same service costs 7.2 times more in Alabama 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· 26th of 51
$105
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.