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 $223.87 Typical High $645.65 | Facility | None | $181.97 | $223.87 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $181.97 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $41.69 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $165.96 | $245.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $2,511.89 | Facility | None | $524.81 | $794.33 | $2,511.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $57.54 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $57.54 | $204.17 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $1,584.89 | Facility | None | $302.00 | $512.86 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $204.17 | $257.04 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $54.95 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $204.17 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $691.83 | Professional | None | $208.93 | $309.03 | $691.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $190.55 | Professional | 26 · Professional part | $45.71 | $66.07 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $239.88 | $537.03 |
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 $251.19 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $251.19 | $257.04 | $275.42 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $223.87 | $309.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $60.26 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $245.47 | $346.74 |
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 $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $41.69 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $147.91 | $165.96 | $165.96 |
Where Illinois sits
The same service costs 3.8 times more in Alaska 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· 32nd of 51
$288
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.