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 $141.25 Median $158.49 Typical High $501.19 | Facility | None | $141.25 | $158.49 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $141.25 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | TC · Technical part | $100.00 | $114.82 | $120.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,698.24 | Facility | None | $524.81 | $794.33 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $1,122.02 | Facility | None | $208.93 | $346.74 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $162.18 | $251.19 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $56.23 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $181.97 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $478.63 | Professional | None | $162.18 | $239.88 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $69.18 | $144.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $177.83 | $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 $190.55 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $190.55 | $194.98 | $208.93 |
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 $181.97 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $181.97 | $245.47 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $186.21 | $263.03 |
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 $70.79 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $112.20 | $125.89 | $125.89 |
Where Illinois sits
The same service costs 4.8 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· 22nd of 51
$263
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.