How much rates vary
Facilitymedian $65 · 10th to 90th $32 to $263Professionalmedian $33 · 10th to 90th $10 to $54
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 $26.30 Median $42.66 Typical High $91.20 | Facility | None | $26.30 | $42.66 | $91.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.75 Median $9.33 Typical High $15.85 | Facility | 26 · Professional part | $5.75 | $9.33 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $79.43 | Facility | TC · Technical part | $21.88 | $35.48 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $64.57 | Professional | None (both parts) | $26.30 | $28.84 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.89 Typical High $13.49 | Professional | 26 · Professional part | $5.62 | $5.89 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $50.12 | Professional | TC · Technical part | $20.89 | $22.39 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $97.72 Typical High $501.19 | Facility | None | $47.86 | $97.72 | $501.19 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $7.94 Median $21.38 Typical High $51.29 | Professional | None (both parts) | $7.94 | $21.38 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $109.65 | Facility | None | $29.51 | $51.29 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $25.12 Typical High $53.70 | Professional | None (both parts) | $15.14 | $25.12 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $5.62 Typical High $10.96 | Professional | 26 · Professional part | $3.31 | $5.62 | $10.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $11.75 | $19.95 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $120.23 | Professional | None | $37.15 | $52.48 | $120.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $51.29 | Professional | 26 · Professional part | $7.76 | $10.23 | $51.29 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $95.50 | Professional | TC · Technical part | $29.51 | $40.74 | $95.50 |
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 $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $19.95 | $36.31 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $7.24 Typical High $13.49 | Professional | 26 · Professional part | $4.57 | $7.24 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $15.14 | $27.54 | $47.86 |
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 $13.18 Median $21.38 Typical High $50.12 | Facility | 52 · Reduced service | $13.18 | $21.38 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $8.71 Typical High $19.95 | Facility | 53 · Discontinued | $5.37 | $8.71 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $13.18 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.37 | $5.75 | $5.75 |
Where Illinois sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 30th of 51
$37.15
AK $123AR $28.18
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.