How much rates vary
Facilitymedian $457 · 10th to 90th $240 to $1,820Professionalmedian $251 · 10th to 90th $89 to $447
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 $234.42 Median $363.08 Typical High $776.25 | Facility | None | $234.42 | $363.08 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $177.83 | Facility | 26 · Professional part | $64.57 | $104.71 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $616.60 | Facility | TC · Technical part | $165.96 | $281.84 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $234.42 | $251.19 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $69.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $162.18 | $181.97 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $4,265.80 | Facility | None | $302.00 | $512.86 | $4,265.80 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $87.10 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $87.10 | $269.15 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $851.14 | Facility | None | $234.42 | $407.38 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $436.52 | Professional | None (both parts) | $123.03 | $147.91 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $309.03 | Professional | TC · Technical part | $58.88 | $102.33 | $309.03 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $676.08 | Professional | None | $263.03 | $389.05 | $676.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $316.23 | Professional | 26 · Professional part | $93.33 | $120.23 | $316.23 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $281.84 | $489.78 |
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 $851.14 Median $851.14 Typical High $954.99 | Facility | None | $851.14 | $851.14 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $173.78 | $281.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $87.10 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $194.98 | $363.08 |
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 $107.15 Median $173.78 Typical High $426.58 | Facility | 52 · Reduced service | $107.15 | $173.78 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $69.18 Typical High $169.82 | Facility | 53 · Discontinued | $43.65 | $69.18 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Where Illinois sits
The same service costs 4.2 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· 20th of 51
$309
AK $575AL $138
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.