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 $177.83 Median $199.53 Typical High $616.60 | Facility | None | $177.83 | $199.53 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $177.83 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $20.42 | $21.88 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $186.21 | Professional | TC · Technical part | $154.88 | $177.83 | $186.21 |
BCBS Illinois Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $2,630.27 | Facility | None | $436.52 | $616.60 | $2,630.27 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.90 Median $109.65 Typical High $426.58 | Professional | None (both parts) | $30.90 | $109.65 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,698.24 | Facility | None | $309.03 | $467.74 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $177.83 | $239.88 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.18 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $208.93 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $630.96 | Professional | None | $194.98 | $288.40 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $85.11 | Professional | 26 · Professional part | $23.99 | $34.67 | $85.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $257.04 | $549.54 |
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 $239.88 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $239.88 | $245.47 | $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 $190.55 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $190.55 | $269.15 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $30.90 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $239.88 | $363.08 |
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 $87.10 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $87.10 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $39.81 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $39.81 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $141.25 | $162.18 | $162.18 |
Where Illinois sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 25th of 51
$282
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.