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 $169.82 Median $194.98 Typical High $676.08 | Facility | None | $169.82 | $194.98 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $169.82 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $27.54 | Professional | 26 · Professional part | $22.91 | $24.55 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | TC · Technical part | $147.91 | $169.82 | $186.21 |
BCBS Illinois Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $2,511.89 | Facility | None | $302.00 | $575.44 | $2,511.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $35.48 Median $125.89 Typical High $489.78 | Professional | None (both parts) | $35.48 | $125.89 | $489.78 |
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 $123.03 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $123.03 | $257.04 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $32.36 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $91.20 | $223.87 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $933.25 | Professional | None | $186.21 | $295.12 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $138.04 | Professional | 26 · Professional part | $27.54 | $39.81 | $138.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $812.83 | Professional | TC · Technical part | $162.18 | $257.04 | $812.83 |
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 $245.47 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $245.47 | $251.19 | $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 $177.83 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $177.83 | $288.40 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $251.19 | $354.81 |
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 $85.11 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $38.90 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $134.90 | $154.88 | $154.88 |
Where Illinois sits
The same service costs 4.8 times more in Alaska than in Indiana. 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· 23rd 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.