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 $229.09 Median $316.23 Typical High $812.83 | Facility | None | $229.09 | $316.23 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $707.95 | Facility | TC · Technical part | $190.55 | $234.42 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $229.09 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $190.55 | $257.04 |
BCBS Illinois Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $2,884.03 | Facility | None | $562.34 | $1,047.13 | $2,884.03 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $89.13 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $89.13 | $269.15 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $1,862.09 | Facility | None | $354.81 | $501.19 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $263.03 | $416.87 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $309.03 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $1,230.27 | Professional | None | $257.04 | $389.05 | $1,230.27 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $354.81 | Professional | 26 · Professional part | $70.79 | $104.71 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $912.01 | Professional | TC · Technical part | $190.55 | $295.12 | $912.01 |
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 $309.03 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $309.03 | $316.23 | $338.84 |
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 $295.12 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $295.12 | $407.38 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $93.33 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $309.03 | $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 $114.82 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $51.29 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $181.97 | $204.17 | $204.17 |
Where Illinois sits
The same service costs 5.1 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· 25th of 51
$389
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.