How much rates vary
Facilitymedian $54 · 10th to 90th $25 to $589Professionalmedian $49 · 10th to 90th $32 to $87
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 $44.67 Median $61.66 Typical High $162.18 | Facility | None | $44.67 | $61.66 | $162.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $89.13 | Facility | 26 · Professional part | $24.55 | $34.67 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $75.86 | Facility | TC · Technical part | $19.50 | $27.54 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $40.74 | $46.77 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $25.70 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $30.90 | Professional | TC · Technical part | $16.98 | $21.38 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.99 Median $64.57 Typical High $1,202.26 | Facility | None | $23.99 | $64.57 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $33.11 | $56.23 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $102.33 | Facility | None | $28.18 | $48.98 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $79.43 | Professional | None (both parts) | $25.12 | $32.36 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $14.13 | $23.99 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $12.59 Typical High $34.67 | Professional | TC · Technical part | $7.94 | $12.59 | $34.67 |
Hally Health Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $134.90 | Professional | None | $54.95 | $79.43 | $134.90 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $134.90 | Professional | 26 · Professional part | $34.67 | $44.67 | $134.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $33.88 Typical High $93.33 | Professional | TC · Technical part | $16.22 | $33.88 | $93.33 |
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 $34.67 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $34.67 | $54.95 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $19.95 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $12.02 | $22.91 | $40.74 |
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 $12.88 Median $23.44 Typical High $81.28 | Facility | 52 · Reduced service | $12.88 | $23.44 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $9.33 Typical High $33.11 | Facility | 53 · Discontinued | $5.13 | $9.33 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.33 |
Where Illinois sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 32nd of 51
$48.98
AK $141LA $30.20
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.