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 $79.43 Median $104.71 Typical High $281.84 | Facility | None | $79.43 | $104.71 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $79.43 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $27.54 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $61.66 | $66.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $1,584.89 | Facility | None | $134.90 | $162.18 | $1,584.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $37.15 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $37.15 | $109.65 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $204.17 Typical High $602.56 | Facility | None | $72.44 | $204.17 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $83.18 | $114.82 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $28.84 | $35.48 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $79.43 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $602.56 | Professional | None | $97.72 | $141.25 | $602.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $223.87 | Professional | 26 · Professional part | $30.20 | $43.65 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $380.19 | Professional | TC · Technical part | $67.61 | $97.72 | $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 $109.65 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $109.65 | $112.20 | $120.23 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $91.20 | $114.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $35.48 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $79.43 | $120.23 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 59 · Distinct service | $89.13 | $89.13 | $89.13 |
Where Illinois sits
The same service costs 3.9 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· 29th of 51
$110
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.