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 $29.51 Median $29.51 Typical High $44.67 | Facility | None | $29.51 | $29.51 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | None (both parts) | $29.51 | $29.51 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $14.45 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $23.44 | Professional | TC · Technical part | $14.79 | $14.79 | $23.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $50.12 | Facility | None | $37.15 | $41.69 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $89.13 | Facility | None | $35.48 | $52.48 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $61.66 | $64.57 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $93.33 | Professional | None | $48.98 | $69.18 | $93.33 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $30.20 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $38.02 | $50.12 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $64.57 | $64.57 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $28.84 | $38.90 | $74.13 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $77.62 | Facility | None | $69.18 | $69.18 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $41.69 | $53.70 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $26.92 | $43.65 |
2 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 $14.79 Median $14.79 Typical High $23.44 | Professional | 52 · Reduced service | $14.79 | $14.79 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $9.33 | Professional | 53 · Discontinued | $5.89 | $5.89 | $9.33 |
Where Illinois sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 35th of 51
$46.77
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.