How much rates vary
Facilitymedian $2,512 · 10th to 90th $575 to $15,488Professionalmedian $1,380 · 10th to 90th $105 to $2,512
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 $2,290.87 Typical High $4,466.84 | Facility | None | $1,288.25 | $2,290.87 | $4,466.84 |
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 $162.18 | Professional | 26 · Professional part | $89.13 | $100.00 | $162.18 |
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 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $512.86 Median $3,235.94 Typical High $19,498.45 | Facility | None | $512.86 | $3,235.94 | $19,498.45 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $316.23 Typical High $2,454.71 | Professional | None (both parts) | $91.20 | $316.23 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,513.56 Typical High $1,949.84 | Facility | None | $575.44 | $1,513.56 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $489.78 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $724.44 Typical High $1,071.52 | Professional | TC · Technical part | $426.58 | $724.44 | $1,071.52 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $5,248.07 | Professional | None | $1,348.96 | $2,137.96 | $5,248.07 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $70.79 | $104.71 | $302.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,089.30 Typical High $5,011.87 | Professional | TC · Technical part | $1,380.38 | $2,089.30 | $5,011.87 |
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 $1,819.70 Median $1,905.46 Typical High $2,041.74 | Professional | None (both parts) | $1,819.70 | $1,905.46 | $2,041.74 |
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 $1,096.48 Median $1,659.59 Typical High $2,754.23 | Professional | None (both parts) | $1,096.48 | $1,659.59 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,513.56 Typical High $2,630.27 | Professional | TC · Technical part | $1,000.00 | $1,513.56 | $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 3.6 times more in Nebraska than in Montana. 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· 21st of 51
$1,660
NE $3,162MT $871
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.