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 $181.97 Median $204.17 Typical High $645.65 | Facility | None | $181.97 | $204.17 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $181.97 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $151.36 | $199.53 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $2,398.83 | Facility | None | $512.86 | $741.31 | $2,398.83 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $70.79 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $70.79 | $218.78 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $1,445.44 | Facility | None | $275.42 | $426.58 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $208.93 | $331.13 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $67.61 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $245.47 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $316.23 Typical High $870.96 | Professional | None | $204.17 | $316.23 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $281.84 | Professional | 26 · Professional part | $56.23 | $83.18 | $281.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $630.96 | Professional | TC · Technical part | $151.36 | $234.42 | $630.96 |
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 $245.47 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $245.47 | $251.19 | $269.15 |
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 $234.42 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $234.42 | $316.23 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $77.62 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $239.88 | $338.84 |
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 $91.20 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $40.74 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $144.54 | $162.18 | $162.18 |
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· 28th of 51
$295
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.