How much rates vary
Facilitymedian $182 · 10th to 90th $34 to $1,023Professionalmedian $59 · 10th to 90th $43 to $91
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 $38.02 Median $69.18 Typical High $144.54 | Facility | None | $38.02 | $69.18 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $56.23 | Facility | 26 · Professional part | $23.44 | $40.74 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $26.92 Typical High $33.88 | Facility | TC · Technical part | $14.79 | $26.92 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $42.66 | $48.98 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $29.51 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $19.05 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $44.67 | $54.95 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $37.15 | $44.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $346.74 | Facility | None | $31.62 | $51.29 | $346.74 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $89.13 | Professional | None (both parts) | $39.81 | $57.54 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $48.98 | Facility | None | $29.51 | $39.81 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $95.50 | Professional | None (both parts) | $45.71 | $63.10 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $38.90 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $10.47 | $23.44 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $186.21 | Professional | None | $52.48 | $77.62 | $186.21 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $147.91 | Professional | 26 · Professional part | $32.36 | $47.86 | $147.91 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $18.20 | $28.84 | $56.23 |
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 $56.23 Median $61.66 Typical High $69.18 | Professional | None (both parts) | $56.23 | $61.66 | $69.18 |
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 $478.63 Typical High $1,819.70 | Facility | None | $141.25 | $478.63 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $44.67 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $39.81 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $22.39 | $38.90 |
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 $18.20 Median $24.55 Typical High $26.92 | Professional | 52 · Reduced service | $18.20 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $7.24 | $9.77 | $10.96 |
Where Illinois sits
The same service costs 6.5 times more in Minnesota 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· 24th of 51
$63.10
MN $295KY $45.71
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.