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 $154.88 Median $173.78 Typical High $549.54 | Facility | None | $154.88 | $173.78 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $154.88 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $20.42 | $21.38 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $154.88 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $2,290.87 | Facility | None | $389.05 | $575.44 | $2,290.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.20 Median $107.15 Typical High $398.11 | Professional | None (both parts) | $30.20 | $107.15 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $1,479.11 | Facility | None | $281.84 | $426.58 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $151.36 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.18 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $181.97 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $549.54 | Professional | None | $169.82 | $251.19 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $34.67 | $79.43 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $151.36 | $218.78 | $478.63 |
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 $208.93 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $208.93 | $213.80 | $234.42 |
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 $169.82 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $169.82 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $30.90 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $208.93 | $316.23 |
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 $77.62 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $34.67 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $123.03 | $141.25 | $141.25 |
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· 29th of 51
$234
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.