How much rates vary
Facilitymedian $295 · 10th to 90th $135 to $1,259Professionalmedian $145 · 10th to 90th $45 to $275
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 $141.25 Median $245.47 Typical High $478.63 | Facility | None | $141.25 | $245.47 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $100.00 | Facility | 26 · Professional part | $31.62 | $52.48 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $416.87 | Facility | TC · Technical part | $112.20 | $190.55 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $123.03 | $144.54 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $31.62 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $112.20 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $50.12 | Professional | 26 · Professional part | $17.38 | $17.78 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $134.90 Median $457.09 Typical High $2,511.89 | Facility | None | $134.90 | $457.09 | $2,511.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $40.74 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $40.74 | $117.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $562.34 | Facility | None | $151.36 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $257.04 | Professional | None (both parts) | $77.62 | $91.20 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $17.78 | $30.20 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $69.18 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $467.74 | Professional | None | $186.21 | $251.19 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $131.83 | Professional | 26 · Professional part | $42.66 | $56.23 | $131.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $190.55 | $354.81 |
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 $109.65 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $109.65 | $173.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $24.55 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $77.62 | $134.90 | $245.47 |
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 $67.61 Median $107.15 Typical High $263.03 | Facility | 52 · Reduced service | $67.61 | $107.15 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $42.66 Typical High $104.71 | Facility | 53 · Discontinued | $26.92 | $42.66 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Where Illinois sits
The same service costs 7.1 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· 22nd of 51
$178
AK $417AL $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.