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 $40.74 Median $40.74 Typical High $61.66 | Facility | None | $40.74 | $40.74 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $40.74 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $23.99 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $26.30 | Professional | TC · Technical part | $16.60 | $16.60 | $26.30 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $81.28 | Facility | None | $47.86 | $61.66 | $81.28 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $44.67 | $61.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $114.82 | Facility | None | $50.12 | $54.95 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $158.49 | Professional | None | $79.43 | $117.49 | $158.49 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $69.18 | $97.72 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $44.67 | $63.10 |
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 $95.50 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $95.50 | $95.50 | $102.33 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $53.70 | $83.18 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $48.98 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $33.11 | $45.71 |
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 $20.42 Median $20.42 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $20.42 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $13.18 | Professional | 53 · Discontinued | $8.13 | $8.13 | $13.18 |
Where Illinois sits
The same service costs 14.8 times more in Texas 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· 24th of 51
$72.44
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.