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 $91.20 Median $123.03 Typical High $338.84 | Facility | None | $91.20 | $123.03 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $91.20 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $21.38 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $83.18 | Professional | TC · Technical part | $70.79 | $81.28 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,230.27 | Facility | None | $346.74 | $575.44 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $794.33 | Facility | None | $173.78 | $257.04 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $109.65 | $173.78 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $33.88 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $134.90 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $512.86 | Professional | None | $109.65 | $165.96 | $512.86 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $141.25 | Professional | 26 · Professional part | $25.12 | $37.15 | $141.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $389.05 | Professional | TC · Technical part | $83.18 | $131.83 | $389.05 |
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 $128.82 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $128.82 | $131.83 | $141.25 |
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 $114.82 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $114.82 | $165.96 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $36.31 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $131.83 | $177.83 |
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 $45.71 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $20.89 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $83.18 | $83.18 |
Where Illinois sits
The same service costs 4.6 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· 23rd of 51
$182
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.