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 $154.88 Median $173.78 Typical High $562.34 | Facility | None | $154.88 | $173.78 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $154.88 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $32.36 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $120.23 | $138.04 | $147.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $2,041.74 | Facility | None | $478.63 | $794.33 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,348.96 | Facility | None | $263.03 | $426.58 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $177.83 | $223.87 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $173.78 | $309.03 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $426.58 | Professional | None | $181.97 | $257.04 | $426.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $56.23 | $104.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $204.17 | $354.81 |
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 $213.80 Median $218.78 Typical High $234.42 | Professional | None (both parts) | $213.80 | $218.78 | $234.42 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $199.53 | $263.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $51.29 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $213.80 | $288.40 |
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 $77.62 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $34.67 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $123.03 | $138.04 | $138.04 |
Where Illinois sits
The same service costs 4.7 times more in Alaska than in Texas. 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· 21st of 51
$269
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.