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 $1,288.25 Median $1,288.25 Typical High $2,511.89 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $100.00 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $2,089.30 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $2,089.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $19,952.62 | Facility | None | $2,041.74 | $3,630.78 | $19,952.62 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $112.20 Median $436.52 Typical High $2,041.74 | Professional | None (both parts) | $112.20 | $436.52 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,348.96 Typical High $1,659.59 | Facility | None | $501.19 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $630.96 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $109.65 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $537.03 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $537.03 | $831.76 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,862.09 | $3,467.37 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $125.89 | $245.47 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,737.80 Typical High $3,235.94 | Professional | TC · Technical part | $1,096.48 | $1,737.80 | $3,235.94 |
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 $1,513.56 Median $1,584.89 Typical High $1,737.80 | Professional | None (both parts) | $1,513.56 | $1,584.89 | $1,737.80 |
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 $3,388.44 Median $3,388.44 Typical High $3,890.45 | Facility | None | $3,388.44 | $3,388.44 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,621.81 Typical High $2,754.23 | Professional | None (both parts) | $954.99 | $1,621.81 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $114.82 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,479.11 Typical High $2,630.27 | Professional | TC · Technical part | $831.76 | $1,479.11 | $2,630.27 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $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 15.1 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· 27th of 51
$1,514
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.