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 $501.19 Median $575.44 Typical High $1,698.24 | Facility | None | $501.19 | $575.44 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $630.96 | Professional | None (both parts) | $501.19 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $43.65 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $524.81 Typical High $575.44 | Professional | TC · Technical part | $457.09 | $524.81 | $575.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $7,943.28 | Facility | None | $776.25 | $1,621.81 | $7,943.28 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $58.88 Median $213.80 Typical High $1,230.27 | Professional | None (both parts) | $58.88 | $213.80 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $5,011.87 | Facility | None | $851.14 | $1,445.44 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $660.69 Typical High $1,096.48 | Professional | None (both parts) | $251.19 | $660.69 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $602.56 Typical High $977.24 | Professional | TC · Technical part | $190.55 | $602.56 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $2,951.21 | Professional | None | $537.03 | $812.83 | $2,951.21 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $257.04 | Professional | 26 · Professional part | $46.77 | $70.79 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $741.31 Typical High $2,754.23 | Professional | TC · Technical part | $512.86 | $741.31 | $2,754.23 |
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 $660.69 Median $691.83 Typical High $741.31 | Professional | None (both parts) | $660.69 | $691.83 | $741.31 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $741.31 Typical High $1,202.26 | Professional | None (both parts) | $524.81 | $741.31 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $66.07 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $691.83 Typical High $1,122.02 | Professional | TC · Technical part | $489.78 | $691.83 | $1,122.02 |
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 $251.19 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $100.00 | $114.82 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $398.11 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $398.11 | $457.09 | $457.09 |
Where Illinois sits
The same service costs 4.4 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· 31st of 51
$708
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.