How much rates vary
Facilitymedian $724 · 10th to 90th $151 to $3,548Professionalmedian $191 · 10th to 90th $51 to $302
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 $213.80 Median $1,288.25 Typical High $5,623.41 | Facility | None | $213.80 | $1,288.25 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $151.36 | $190.55 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $40.74 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $151.36 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $134.90 | $190.55 | $218.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $4,677.35 | Facility | None | $1,096.48 | $2,344.23 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $51.29 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $51.29 | $162.18 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $758.58 Typical High $2,691.53 | Facility | None | $50.12 | $758.58 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $263.03 | Professional | None (both parts) | $169.82 | $239.88 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $69.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $158.49 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $512.86 | Professional | None | $165.96 | $257.04 | $512.86 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $173.78 | Professional | 26 · Professional part | $41.69 | $64.57 | $173.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $190.55 | $371.54 |
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 $194.98 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $194.98 | $199.53 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $44.67 Typical High $120.23 | Professional | None (both parts) | $14.79 | $44.67 | $120.23 |
United Setting Facility Modifier None Typical Low $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $151.36 | $223.87 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $60.26 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $151.36 | $257.04 |
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 $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $36.31 | $38.02 | $38.02 |
Where Illinois sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 40th of 51
$191
AK $759TX $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.