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 $85.11 Median $114.82 Typical High $316.23 | Facility | None | $85.11 | $114.82 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $85.11 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $16.60 | $17.38 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $79.43 | $87.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $316.23 Median $562.34 Typical High $1,174.90 | Facility | None | $316.23 | $562.34 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $24.55 Median $87.10 Typical High $218.78 | Professional | None (both parts) | $24.55 | $87.10 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $251.19 Typical High $776.25 | Facility | None | $128.82 | $251.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $93.33 | $158.49 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $26.30 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $131.83 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $549.54 | Professional | None | $102.33 | $154.88 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $128.82 | Professional | 26 · Professional part | $19.50 | $29.51 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $436.52 | Professional | TC · Technical part | $83.18 | $128.82 | $436.52 |
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 $120.23 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $120.23 | $123.03 | $134.90 |
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 $107.15 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $107.15 | $144.54 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $26.92 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $117.49 | $165.96 |
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 $42.66 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $19.50 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $69.18 | $77.62 | $77.62 |
Where Illinois sits
The same service costs 5.0 times more in Alabama than in New York. 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· 26th of 51
$148
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.