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 $95.50 Median $112.20 Typical High $309.03 | Facility | None | $95.50 | $112.20 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $95.50 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $15.49 | $16.22 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $79.43 | $91.20 | $95.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $1,288.25 | Facility | None | $213.80 | $512.86 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $22.39 Median $81.28 Typical High $223.87 | Professional | None (both parts) | $22.39 | $81.28 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $741.31 | Facility | None | $147.91 | $245.47 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $95.50 | $117.49 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $21.38 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $100.00 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $630.96 | Professional | None | $97.72 | $138.04 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $125.89 | Professional | 26 · Professional part | $17.38 | $25.70 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $524.81 | Professional | TC · Technical part | $79.43 | $114.82 | $524.81 |
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 $114.82 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $114.82 | $117.49 | $128.82 |
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 $97.72 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $97.72 | $131.83 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $23.44 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $112.20 | $169.82 |
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 $46.77 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $85.11 | $85.11 |
Where Illinois sits
The same service costs 5.5 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· 29th of 51
$129
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.