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 $165.96 Median $190.55 Typical High $588.84 | Facility | None | $165.96 | $190.55 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $165.96 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $32.36 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $138.04 | $158.49 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $2,344.23 | Facility | None | $426.58 | $602.56 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $44.67 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $44.67 | $154.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $1,513.56 | Facility | None | $281.84 | $426.58 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $177.83 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $40.74 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $186.21 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $549.54 | Professional | None | $194.98 | $275.42 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $51.29 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $223.87 | $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 $229.09 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $229.09 | $234.42 | $257.04 |
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 $190.55 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $190.55 | $263.03 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $45.71 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $223.87 | $331.13 |
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 $83.18 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $134.90 | $151.36 | $151.36 |
Where Illinois sits
The same service costs 4.6 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· 24th of 51
$269
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.