How much rates vary
Facilitymedian $178 · 10th to 90th $52 to $1,096Professionalmedian $56 · 10th to 90th $26 to $102
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 $52.48 Median $60.26 Typical High $190.55 | Facility | None | $52.48 | $60.26 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $134.90 | Facility | TC · Technical part | $34.67 | $51.29 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $20.89 | Professional | 26 · Professional part | $19.95 | $20.42 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $38.02 | $38.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,513.56 | Facility | None | $338.84 | $549.54 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $26.30 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $26.30 | $66.07 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $177.83 | Facility | None | $46.77 | $95.50 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $30.20 | $46.77 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $37.15 | Professional | 26 · Professional part | $11.48 | $16.22 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $30.90 Typical High $66.07 | Professional | TC · Technical part | $18.20 | $30.90 | $66.07 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $371.54 | Professional | None | $72.44 | $97.72 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $263.03 | Professional | 26 · Professional part | $27.54 | $37.15 | $263.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $134.90 | Professional | TC · Technical part | $42.66 | $58.88 | $134.90 |
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 $12.30 Median $26.30 Typical High $43.65 | Professional | None (both parts) | $12.30 | $26.30 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $46.77 | $75.86 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $16.98 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $29.51 | $46.77 | $87.10 |
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 $23.44 Median $35.48 Typical High $95.50 | Facility | 52 · Reduced service | $23.44 | $35.48 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $14.13 Typical High $38.90 | Facility | 53 · Discontinued | $9.33 | $14.13 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Where Illinois sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 39th of 51
$58.88
AK $182TX $41.69
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.