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 $104.71 Median $128.82 Typical High $389.05 | Facility | None | $104.71 | $128.82 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $120.23 | Professional | None (both parts) | $104.71 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $21.38 | $22.39 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $95.50 | $97.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,621.81 | Facility | None | $489.78 | $691.83 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $933.25 | Facility | None | $213.80 | $302.00 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $125.89 | $204.17 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $33.88 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $165.96 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $645.65 | Professional | None | $123.03 | $186.21 | $645.65 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $154.88 | Professional | 26 · Professional part | $25.12 | $37.15 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $501.19 | Professional | TC · Technical part | $100.00 | $154.88 | $501.19 |
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 $147.91 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $147.91 | $151.36 | $162.18 |
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 $128.82 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $128.82 | $204.17 | $323.59 |
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 $102.33 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $169.82 | $257.04 |
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 $52.48 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $52.48 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Where Illinois sits
The same service costs 5.2 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· 21st of 51
$219
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.