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 $162.18 Median $186.21 Typical High $588.84 | Facility | None | $162.18 | $186.21 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $162.18 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $20.42 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $141.25 | $162.18 | $177.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $2,398.83 | Facility | None | $398.11 | $758.58 | $2,398.83 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.90 Median $109.65 Typical High $426.58 | Professional | None (both parts) | $30.90 | $109.65 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $1,584.89 | Facility | None | $288.40 | $436.52 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $151.36 | $223.87 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $29.51 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $199.53 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $758.58 | Professional | None | $173.78 | $269.15 | $758.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $109.65 | Professional | 26 · Professional part | $24.55 | $36.31 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $239.88 | $660.69 |
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 $229.09 Median $234.42 Typical High $251.19 | Professional | None (both parts) | $229.09 | $234.42 | $251.19 |
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 $177.83 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $177.83 | $257.04 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $31.62 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $229.09 | $338.84 |
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 $81.28 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $37.15 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $131.83 | $147.91 | $147.91 |
Where Illinois sits
The same service costs 4.6 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· 28th of 51
$251
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.