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 $147.91 Median $229.09 Typical High $446.68 | Facility | None | $147.91 | $229.09 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $100.00 | Facility | 26 · Professional part | $48.98 | $75.86 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $363.08 | Facility | TC · Technical part | $100.00 | $158.49 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $147.91 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $52.48 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $112.20 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $1,737.80 | Facility | None | $457.09 | $794.33 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $70.79 | $204.17 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $1,122.02 | Facility | None | $190.55 | $363.08 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $162.18 | $257.04 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $69.18 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $181.97 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $776.25 | Professional | None | $177.83 | $257.04 | $776.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $316.23 | Professional | 26 · Professional part | $57.54 | $83.18 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $117.49 | $181.97 | $467.74 |
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 $208.93 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $208.93 | $213.80 | $229.09 |
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 $181.97 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $181.97 | $234.42 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $75.86 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $158.49 | $223.87 |
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 $74.13 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $29.51 | $33.11 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $117.49 | $131.83 | $131.83 |
Where Illinois sits
The same service costs 4.4 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· 29th of 51
$229
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.