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 $114.82 Median $190.55 Typical High $398.11 | Facility | None | $114.82 | $190.55 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $69.18 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $43.65 | $50.12 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $1,047.13 | Facility | None | $275.42 | $426.58 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $489.78 | Facility | None | $93.33 | $158.49 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $134.90 | $199.53 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $112.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $81.28 | $117.49 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $602.56 | Professional | None | $134.90 | $199.53 | $602.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $446.68 | Professional | 26 · Professional part | $83.18 | $123.03 | $446.68 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $51.29 | $81.28 | $208.93 |
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 $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
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 $549.54 Median $549.54 Typical High $630.96 | Facility | None | $549.54 | $549.54 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $138.04 | $204.17 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $117.49 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $81.28 | $112.20 |
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 $56.23 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $91.20 | $97.72 | $97.72 |
Where Illinois sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$195
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.