How much rates vary
Facilitymedian $363 · 10th to 90th $170 to $2,512Professionalmedian $269 · 10th to 90th $151 to $407
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 $380.19 Median $1,445.44 Typical High $5,623.41 | Facility | None | $380.19 | $1,445.44 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $218.78 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $151.36 | $194.98 |
BCBS Illinois Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $2,344.23 | Facility | None | $186.21 | $295.12 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $100.00 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $100.00 | $218.78 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $512.86 | Facility | None | $173.78 | $245.47 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $371.54 | Professional | None (both parts) | $229.09 | $323.59 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $199.53 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $676.08 | Professional | None | $208.93 | $323.59 | $676.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $281.84 | Professional | 26 · Professional part | $79.43 | $120.23 | $281.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $128.82 | $199.53 | $380.19 |
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 $245.47 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $245.47 | $245.47 | $275.42 |
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 $141.25 Median $501.19 Typical High $1,819.70 | Facility | None | $141.25 | $501.19 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $204.17 | $295.12 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $107.15 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $186.21 | $288.40 |
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 $112.20 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Where Illinois sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 26th of 51
$282
WI $708UT $135
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.