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 $380.19 Median $1,548.82 Typical High $5,623.41 | Facility | None | $380.19 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $295.12 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $213.80 | $263.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $3,311.31 | Facility | None | $208.93 | $316.23 | $3,311.31 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $109.65 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $109.65 | $281.84 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $512.86 | Facility | None | $194.98 | $281.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $302.00 | $363.08 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $104.71 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $263.03 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $870.96 | Professional | None | $275.42 | $426.58 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $309.03 | Professional | 26 · Professional part | $89.13 | $134.90 | $309.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $295.12 | $537.03 |
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 $331.13 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $331.13 | $331.13 | $363.08 |
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 $281.84 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $281.84 | $426.58 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $120.23 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $295.12 | $426.58 |
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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $58.88 | $60.26 | $64.57 |
Where Illinois sits
The same service costs 4.8 times more in Alaska 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· 31st of 51
$355
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.