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 $131.83 Median $151.36 Typical High $467.74 | Facility | None | $131.83 | $151.36 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $158.49 | Professional | None (both parts) | $131.83 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $15.14 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $117.49 | $134.90 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $269.15 Median $575.44 Typical High $2,290.87 | Facility | None | $269.15 | $575.44 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $1,288.25 | Facility | None | $316.23 | $398.11 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $123.03 | $186.21 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $16.60 | $22.91 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $165.96 | $302.00 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $776.25 | Professional | None | $141.25 | $213.80 | $776.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $109.65 | Professional | 26 · Professional part | $16.60 | $25.70 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $691.83 | Professional | TC · Technical part | $128.82 | $194.98 | $691.83 |
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 $177.83 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $177.83 | $186.21 | $199.53 |
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 $158.49 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $158.49 | $239.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $23.99 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $141.25 | $218.78 | $288.40 |
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 $66.07 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $104.71 | $120.23 | $120.23 |
Where Illinois sits
The same service costs 4.5 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
$224
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.