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 $263.03 Median $398.11 Typical High $776.25 | Facility | None | $263.03 | $398.11 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $120.23 | Facility | 26 · Professional part | $41.69 | $64.57 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $776.25 | Facility | TC · Technical part | $229.09 | $363.08 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $269.15 | $309.03 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $44.67 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $263.03 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $3,890.45 | Facility | None | $512.86 | $812.83 | $3,890.45 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $60.26 Median $218.78 Typical High $676.08 | Professional | None (both parts) | $60.26 | $218.78 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $2,511.89 | Facility | None | $398.11 | $645.65 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $263.03 | $354.81 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $58.88 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $309.03 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $933.25 | Professional | None | $288.40 | $436.52 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $194.98 | Professional | 26 · Professional part | $48.98 | $70.79 | $194.98 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $371.54 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $371.54 | $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 $363.08 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $363.08 | $371.54 | $407.38 |
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 $302.00 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $302.00 | $436.52 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $64.57 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $371.54 | $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 $134.90 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $53.70 | $61.66 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $213.80 | $245.47 | $245.47 |
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· 28th of 51
$398
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.