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 $165.96 Median $186.21 Typical High $512.86 | Facility | None | $165.96 | $186.21 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $141.25 | $162.18 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $2,344.23 | Facility | None | $263.03 | $575.44 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.20 Median $107.15 Typical High $371.54 | Professional | None (both parts) | $30.20 | $107.15 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $426.58 Typical High $1,513.56 | Facility | None | $251.19 | $426.58 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $107.15 | $194.98 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $169.82 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $446.68 | Professional | None | $151.36 | $234.42 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $35.48 | $67.61 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $131.83 | $208.93 | $380.19 |
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 $199.53 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $199.53 | $204.17 | $223.87 |
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 $144.54 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $144.54 | $223.87 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $30.90 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $194.98 | $316.23 |
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 $81.28 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $81.28 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $131.83 | $151.36 | $151.36 |
Where Illinois sits
The same service costs 5.5 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· 31st of 51
$214
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.