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 $223.87 Median $338.84 Typical High $645.65 | Facility | None | $223.87 | $338.84 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $102.33 | Facility | 26 · Professional part | $28.84 | $46.77 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $616.60 | Facility | TC · Technical part | $194.98 | $295.12 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $169.82 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $141.25 | $194.98 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $2,454.71 | Facility | None | $398.11 | $575.44 | $2,454.71 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $147.91 Typical High $512.86 | Professional | None (both parts) | $42.66 | $147.91 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $512.86 Typical High $1,862.09 | Facility | None | $257.04 | $512.86 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $181.97 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $38.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $223.87 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $588.84 | Professional | None | $208.93 | $323.59 | $588.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $46.77 | $87.10 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $275.42 | $501.19 |
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 $269.15 Median $275.42 Typical High $295.12 | Professional | None (both parts) | $269.15 | $275.42 | $295.12 |
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 $263.03 Typical High $467.74 | Professional | None (both parts) | $177.83 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $41.69 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $234.42 | $407.38 |
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 $97.72 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $38.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $158.49 | $177.83 | $177.83 |
Where Illinois sits
The same service costs 5.2 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· 24th of 51
$295
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.