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 $138.04 Median $158.49 Typical High $489.78 | Facility | None | $138.04 | $158.49 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $138.04 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $21.88 | Professional | 26 · Professional part | $18.62 | $19.95 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $138.04 | $144.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $2,041.74 | Facility | None | $302.00 | $575.44 | $2,041.74 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.84 Median $100.00 Typical High $331.13 | Professional | None (both parts) | $28.84 | $100.00 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $1,318.26 | Facility | None | $199.53 | $398.11 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $117.49 | $186.21 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $25.70 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $158.49 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $512.86 | Professional | None | $147.91 | $229.09 | $512.86 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $83.18 | Professional | 26 · Professional part | $21.88 | $31.62 | $83.18 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $125.89 | $199.53 | $446.68 |
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 $190.55 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $190.55 | $194.98 | $208.93 |
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 $144.54 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $144.54 | $213.80 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $28.84 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $181.97 | $281.84 |
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 $69.18 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $112.20 | $125.89 | $125.89 |
Where Illinois sits
The same service costs 4.7 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· 24th 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.