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 $1,288.25 Median $2,630.27 Typical High $4,897.79 | Facility | None | $1,288.25 | $2,630.27 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,288.25 Typical High $1,778.28 | Professional | None (both parts) | $1,258.93 | $1,288.25 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $100.00 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,122.02 | $1,202.26 | $1,202.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,862.09 Median $3,630.78 Typical High $19,952.62 | Facility | None | $1,862.09 | $3,630.78 | $19,952.62 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $95.50 Median $354.81 Typical High $1,819.70 | Professional | None (both parts) | $95.50 | $354.81 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,096.48 Typical High $1,659.59 | Facility | None | $407.38 | $1,096.48 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $275.42 | $512.86 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $87.10 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $426.58 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $426.58 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,801.89 | Professional | None | $1,071.52 | $1,659.59 | $3,801.89 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $109.65 | $213.80 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,548.82 Typical High $3,311.31 | Professional | TC · Technical part | $1,047.13 | $1,548.82 | $3,311.31 |
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 $1,348.96 Median $1,380.38 Typical High $1,548.82 | Professional | None (both parts) | $1,348.96 | $1,380.38 | $1,548.82 |
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 $3,090.30 Median $3,090.30 Typical High $3,467.37 | Facility | None | $3,090.30 | $3,090.30 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,621.81 Typical High $2,454.71 | Professional | None (both parts) | $912.01 | $1,621.81 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,513.56 Typical High $2,290.87 | Professional | TC · Technical part | $831.76 | $1,513.56 | $2,290.87 |
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 $588.84 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $588.84 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | FX · Film X-ray | $1,047.13 | $1,047.13 | $1,047.13 |
Where Illinois sits
The same service costs 4.4 times more in Nebraska than in Washington. 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
$1,349
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.