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 $245.47 Median $338.84 Typical High $630.96 | Facility | None | $245.47 | $338.84 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $66.07 | Facility | 26 · Professional part | $32.36 | $45.71 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $776.25 | Facility | TC · Technical part | $213.80 | $323.59 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $251.19 | $295.12 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $35.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $257.04 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $45.71 | $54.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $3,890.45 | Facility | None | $501.19 | $707.95 | $3,890.45 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $46.77 Median $169.82 Typical High $645.65 | Professional | None (both parts) | $46.77 | $169.82 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $2,454.71 | Facility | None | $398.11 | $630.96 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $218.78 | $338.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $295.12 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $812.83 | Professional | None | $263.03 | $407.38 | $812.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $186.21 | Professional | 26 · Professional part | $38.02 | $56.23 | $186.21 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $363.08 | $691.83 |
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 $346.74 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $346.74 | $354.81 | $389.05 |
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 $257.04 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $257.04 | $363.08 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $50.12 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $331.13 | $549.54 |
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 $128.82 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $58.88 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $58.88 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $204.17 | $234.42 | $234.42 |
Where Illinois sits
The same service costs 3.5 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
$372
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.