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 $56.23 Median $81.28 Typical High $223.87 | Facility | None | $56.23 | $81.28 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $56.23 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.46 Typical High $7.24 | Professional | 26 · Professional part | $6.17 | $6.46 | $7.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $57.54 | $63.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $1,023.29 | Facility | None | $162.18 | $275.42 | $1,023.29 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $9.77 Median $30.20 Typical High $158.49 | Professional | None (both parts) | $9.77 | $30.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $147.91 Typical High $562.34 | Facility | None | $67.61 | $147.91 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $66.07 | $87.10 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $11.48 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $75.86 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $229.09 | Professional | None | $66.07 | $95.50 | $229.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $31.62 | Professional | 26 · Professional part | $7.59 | $11.22 | $31.62 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $199.53 | Professional | TC · Technical part | $57.54 | $83.18 | $199.53 |
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 $75.86 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $75.86 | $79.43 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $3.24 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $3.24 | $28.84 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $74.13 | $100.00 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $7.76 | $10.47 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $87.10 | $125.89 |
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 $28.18 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $28.18 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $11.22 | $12.88 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $45.71 | $51.29 | $51.29 |
Where Illinois sits
The same service costs 4.6 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· 32nd of 51
$91.20
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.