How much rates vary
Facilitymedian $204 · 10th to 90th $76 to $1,175Professionalmedian $138 · 10th to 90th $47 to $240
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 $138.04 Median $208.93 Typical High $416.87 | Facility | None | $138.04 | $208.93 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $97.72 | Facility | 26 · Professional part | $32.36 | $51.29 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $346.74 | Facility | TC · Technical part | $104.71 | $158.49 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $95.50 | $104.71 | $104.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $75.86 Median $190.55 Typical High $2,570.40 | Facility | None | $75.86 | $190.55 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $39.81 | $112.20 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $537.03 | Facility | None | $120.23 | $223.87 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $208.93 | Professional | None (both parts) | $67.61 | $79.43 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $17.38 | $31.62 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $158.49 | Professional | TC · Technical part | $35.48 | $58.88 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $371.54 | Professional | None | $144.54 | $213.80 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $56.23 | $131.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $79.43 | $154.88 | $281.84 |
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 |
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 $123.03 Median $123.03 Typical High $141.25 | Facility | None | $123.03 | $123.03 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $87.10 | $141.25 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $25.12 | $40.74 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $100.00 | $186.21 |
4 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 Facility Modifier 52 · Reduced service Typical Low $63.10 Median $100.00 Typical High $229.09 | Facility | 52 · Reduced service | $63.10 | $100.00 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $91.20 | Facility | 53 · Discontinued | $25.12 | $40.74 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $27.54 | $27.54 |
Where Illinois sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 28th of 51
$138
AK $331AL $57.54
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.