How much rates vary
Facilitymedian $151 · 10th to 90th $76 to $562Professionalmedian $74 · 10th to 90th $30 to $151
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 $74.13 Median $123.03 Typical High $245.47 | Facility | None | $74.13 | $123.03 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $63.10 | Facility | 26 · Professional part | $22.91 | $36.31 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $186.21 | Facility | TC · Technical part | $53.70 | $87.10 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $67.61 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $23.44 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $46.77 | $50.12 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $1,348.96 | Facility | None | $128.82 | $218.78 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $29.51 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $29.51 | $81.28 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $263.03 | Facility | None | $70.79 | $134.90 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $134.90 | Professional | None (both parts) | $43.65 | $52.48 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $12.88 | $16.60 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $95.50 | Professional | TC · Technical part | $30.20 | $36.31 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | None | $104.71 | $138.04 | $245.47 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $128.82 | Professional | 26 · Professional part | $30.90 | $41.69 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $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 $18.20 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $18.20 | $33.11 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $58.88 | $93.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $18.20 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $63.10 | $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 $30.20 Median $48.98 Typical High $141.25 | Facility | 52 · Reduced service | $30.20 | $48.98 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $19.50 Typical High $57.54 | Facility | 53 · Discontinued | $12.02 | $19.50 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $34.67 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $13.80 | $14.79 | $14.79 |
Where Illinois sits
The same service costs 5.9 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· 27th of 51
$93.33
AK $347AL $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.