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 $190.55 Median $218.78 Typical High $660.69 | Facility | None | $190.55 | $218.78 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $190.55 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $30.90 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $162.18 | $186.21 | $213.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,754.23 | Facility | None | $501.19 | $691.83 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $147.91 Typical High $457.09 | Professional | None (both parts) | $42.66 | $147.91 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $1,819.70 | Facility | None | $346.74 | $489.78 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $213.80 | $263.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $38.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $223.87 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $660.69 | Professional | None | $218.78 | $309.03 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $33.11 | $48.98 | $109.65 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $269.15 | $562.34 |
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 $263.03 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $263.03 | $269.15 | $288.40 |
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 $223.87 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $223.87 | $309.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $42.66 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $269.15 | $389.05 |
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 $95.50 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $38.90 | $43.65 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $154.88 | $173.78 | $173.78 |
Where Illinois sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 27th of 51
$309
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.