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 $36.31 Median $48.98 Typical High $131.83 | Facility | None | $36.31 | $48.98 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $36.31 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $20.42 | $21.88 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $24.55 | Professional | TC · Technical part | $15.49 | $17.78 | $24.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $512.86 | Facility | None | $120.23 | $302.00 | $512.86 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.20 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $30.20 | $54.95 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $67.61 Typical High $346.74 | Professional | None (both parts) | $42.66 | $67.61 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $29.51 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.90 Typical High $316.23 | Professional | TC · Technical part | $18.62 | $30.90 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $354.81 | Professional | None | $41.69 | $64.57 | $354.81 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $190.55 | Professional | 26 · Professional part | $23.44 | $34.67 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $288.40 | Professional | TC · Technical part | $18.62 | $29.51 | $288.40 |
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 $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
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 Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $239.88 | Professional | None (both parts) | $44.67 | $77.62 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $32.36 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $34.67 Typical High $154.88 | Professional | TC · Technical part | $19.50 | $34.67 | $154.88 |
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 $18.20 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $18.20 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.24 | $7.94 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $28.84 | $31.62 | $31.62 |
Where Illinois sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 33rd of 51
$58.88
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.