How much rates vary
Facilitymedian $339 · 10th to 90th $110 to $1,349Professionalmedian $105 · 10th to 90th $36 to $204
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 $97.72 Median $138.04 Typical High $389.05 | Facility | None | $97.72 | $138.04 | $389.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $295.12 | Facility | TC · Technical part | $77.62 | $147.91 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $89.13 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $27.54 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $77.62 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,691.53 | Facility | None | $323.59 | $524.81 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $36.31 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $36.31 | $97.72 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $398.11 | Facility | None | $107.15 | $181.97 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $181.97 | Professional | None (both parts) | $57.54 | $64.57 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $48.98 | Professional | 26 · Professional part | $15.85 | $19.05 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $48.98 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $416.87 | Professional | None | $141.25 | $190.55 | $416.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $234.42 | Professional | 26 · Professional part | $38.02 | $50.12 | $234.42 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $93.33 | $134.90 | $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 Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $72.44 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $20.89 | $33.88 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $81.28 | $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 $46.77 Median $75.86 Typical High $194.98 | Facility | 52 · Reduced service | $46.77 | $75.86 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $30.20 Typical High $77.62 | Facility | 53 · Discontinued | $18.62 | $30.20 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $47.86 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $20.89 | $20.89 |
Where Illinois sits
The same service costs 4.6 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· 25th of 51
$120
AK $269AL $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.