How much rates vary
Facilitymedian $245 · 10th to 90th $112 to $1,047Professionalmedian $145 · 10th to 90th $68 to $257
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 $117.49 Median $147.91 Typical High $426.58 | Facility | None | $117.49 | $147.91 | $426.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $100.00 Typical High $194.98 | Facility | TC · Technical part | $52.48 | $100.00 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $109.65 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $66.07 | $67.61 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $47.86 | $52.48 | $52.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $2,290.87 | Facility | None | $234.42 | $380.19 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $131.83 Typical High $218.78 | Facility | None | $58.88 | $131.83 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $67.61 | $125.89 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $28.18 | $63.10 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $380.19 | Professional | None | $162.18 | $223.87 | $380.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $354.81 | Professional | 26 · Professional part | $95.50 | $125.89 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $389.05 | Professional | TC · Technical part | $63.10 | $91.20 | $389.05 |
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 $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $87.10 | $169.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $52.48 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $64.57 Typical High $154.88 | Professional | TC · Technical part | $33.88 | $64.57 | $154.88 |
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 $60.26 Typical High $213.80 | Facility | 52 · Reduced service | $33.11 | $60.26 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $23.99 Typical High $85.11 | Facility | 53 · Discontinued | $13.18 | $23.99 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.99 | $24.55 |
Where Illinois sits
The same service costs 7.6 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· 29th of 51
$158
AK $457AL $60.26
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.