How much rates vary
Facilitymedian $288 · 10th to 90th $120 to $1,072Professionalmedian $120 · 10th to 90th $52 to $191
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 $100.00 Median $162.18 Typical High $316.23 | Facility | None | $100.00 | $162.18 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $112.20 | Facility | 26 · Professional part | $36.31 | $58.88 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $223.87 | Facility | TC · Technical part | $64.57 | $104.71 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $91.20 | $100.00 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $36.31 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $64.57 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $19.95 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $2,187.76 | Facility | None | $218.78 | $512.86 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $45.71 | $117.49 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $316.23 | Facility | None | $83.18 | $165.96 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $53.70 | $107.15 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $33.88 | $64.57 | $125.89 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $562.34 | Professional | None | $125.89 | $177.83 | $562.34 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $47.86 | $64.57 | $229.09 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $112.20 | $245.47 |
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 $79.43 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $79.43 | $144.54 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $28.84 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $91.20 | $151.36 |
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 $40.74 Median $63.10 Typical High $173.78 | Facility | 52 · Reduced service | $40.74 | $63.10 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $69.18 | Facility | 53 · Discontinued | $16.22 | $25.12 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.05 | $19.95 | $19.95 |
Where Illinois sits
The same service costs 4.5 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· 31st of 51
$132
AK $316AL $70.79
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.