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 $213.80 Median $269.15 Typical High $741.31 | Facility | None | $213.80 | $269.15 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $263.03 | Professional | None (both parts) | $213.80 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $37.15 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | TC · Technical part | $181.97 | $208.93 | $223.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $3,162.28 | Facility | None | $478.63 | $645.65 | $3,162.28 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $50.12 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $50.12 | $181.97 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $537.03 Typical High $1,949.84 | Facility | None | $309.03 | $537.03 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $204.17 | $288.40 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $239.88 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $891.25 | Professional | None | $229.09 | $346.74 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $151.36 | Professional | 26 · Professional part | $39.81 | $58.88 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $758.58 | Professional | TC · Technical part | $194.98 | $288.40 | $758.58 |
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 $288.40 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $288.40 | $295.12 | $323.59 |
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 $208.93 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $208.93 | $309.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $53.70 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $269.15 | $436.52 |
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 $107.15 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $48.98 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $173.78 | $194.98 | $194.98 |
Where Illinois sits
The same service costs 5.0 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· 32nd 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.