How much rates vary
Facilitymedian $162 · 10th to 90th $65 to $525Professionalmedian $74 · 10th to 90th $14 to $129
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 $64.57 Median $91.20 Typical High $199.53 | Facility | None | $64.57 | $91.20 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $26.92 | Facility | 26 · Professional part | $9.77 | $15.14 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $208.93 | Facility | TC · Technical part | $56.23 | $89.13 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $66.07 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $10.47 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $60.26 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $1,071.52 | Facility | None | $56.23 | $190.55 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $13.18 Median $42.66 Typical High $128.82 | Professional | None (both parts) | $13.18 | $42.66 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $295.12 | Facility | None | $79.43 | $134.90 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $117.49 | Professional | None (both parts) | $37.15 | $40.74 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $5.62 | $10.00 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $100.00 | Professional | TC · Technical part | $30.90 | $35.48 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | None | $77.62 | $117.49 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $61.66 | Professional | 26 · Professional part | $13.49 | $18.20 | $61.66 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $95.50 | $173.78 |
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 $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $47.86 | $77.62 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $7.94 | $12.59 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $40.74 | $64.57 | $120.23 |
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 $33.11 Median $57.54 Typical High $123.03 | Facility | 52 · Reduced service | $33.11 | $57.54 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $22.91 Typical High $48.98 | Facility | 53 · Discontinued | $13.18 | $22.91 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $14.13 | $14.13 |
Where Illinois sits
The same service costs 6.0 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· 24th of 51
$85.11
AK $209AL $34.67
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.