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 $275.42 Median $457.09 Typical High $794.33 | Facility | None | $275.42 | $457.09 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $141.25 | Facility | 26 · Professional part | $48.98 | $81.28 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $776.25 | Facility | TC · Technical part | $229.09 | $380.19 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $275.42 | $316.23 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $52.48 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $263.03 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $75.86 | $75.86 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $3,890.45 | Facility | None | $562.34 | $851.14 | $3,890.45 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $70.79 Median $251.19 Typical High $691.83 | Professional | None (both parts) | $70.79 | $251.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $2,511.89 | Facility | None | $398.11 | $676.08 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $676.08 | Professional | None (both parts) | $239.88 | $363.08 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $69.18 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $309.03 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $1,778.28 | Professional | None | $288.40 | $436.52 | $1,778.28 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $354.81 | Professional | 26 · Professional part | $56.23 | $83.18 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $1,479.11 | Professional | TC · Technical part | $234.42 | $363.08 | $1,479.11 |
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 $371.54 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $371.54 | $380.19 | $416.87 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $302.00 | $446.68 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $75.86 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $371.54 | $549.54 |
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 $138.04 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $63.10 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $218.78 | $251.19 | $251.19 |
Where Illinois sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 29th of 51
$407
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.