How much rates vary
Facilitymedian $166 · 10th to 90th $78 to $851Professionalmedian $78 · 10th to 90th $23 to $135
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 $72.44 Median $93.33 Typical High $251.19 | Facility | None | $72.44 | $93.33 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $213.80 | Facility | TC · Technical part | $58.88 | $75.86 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $69.18 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $16.60 | $17.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $56.23 | $60.26 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $1,513.56 | Facility | None | $120.23 | $234.42 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $21.38 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $21.38 | $70.79 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $147.91 Typical High $281.84 | Facility | None | $75.86 | $147.91 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $134.90 | Professional | None (both parts) | $37.15 | $46.77 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $9.33 | $18.62 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $32.36 Typical High $95.50 | Professional | TC · Technical part | $19.05 | $32.36 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $316.23 | Professional | None | $85.11 | $123.03 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $141.25 | Professional | 26 · Professional part | $22.91 | $30.90 | $141.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $95.50 | $177.83 |
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 Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $61.66 | $97.72 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $23.99 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $74.13 | $138.04 |
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 $36.31 Median $56.23 Typical High $125.89 | Facility | 52 · Reduced service | $36.31 | $56.23 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $22.39 Typical High $50.12 | Facility | 53 · Discontinued | $14.45 | $22.39 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $15.49 | $15.49 |
Where Illinois sits
The same service costs 4.0 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· 28th of 51
$93.33
AK $234AL $58.88
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.