How much rates vary
Facilitymedian $1,023 · 10th to 90th $331 to $5,248Professionalmedian $437 · 10th to 90th $174 to $759
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 $436.52 Median $1,548.82 Typical High $5,623.41 | Facility | None | $436.52 | $1,548.82 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $436.52 Typical High $457.09 | Professional | None (both parts) | $354.81 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $338.84 | $338.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $8,912.51 | Facility | None | $323.59 | $389.05 | $8,912.51 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $138.04 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $138.04 | $446.68 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $478.63 | Facility | None | $467.74 | $467.74 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $275.42 | $478.63 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $131.83 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $194.98 | $338.84 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $1,513.56 | Professional | None | $323.59 | $549.54 | $1,513.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $141.25 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $141.25 | $416.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $416.87 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $416.87 | $954.99 |
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 $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
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 $208.93 Median $891.25 Typical High $3,090.30 | Facility | None | $208.93 | $891.25 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $263.03 | $389.05 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $281.84 | $588.84 |
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 $199.53 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $89.13 | $89.13 |
Where Illinois sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 27th of 51
$437
AK $1,413KY $219
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.