How much rates vary
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 $851.14 Median $933.25 Typical High $2,187.76 | Facility | None | $851.14 | $933.25 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $851.14 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | 26 · Professional part | $114.82 | $123.03 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $724.44 | $812.83 | $812.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $14,791.08 | Facility | None | $1,202.26 | $1,445.44 | $14,791.08 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $134.90 Median $436.52 Typical High $1,905.46 | Professional | None (both parts) | $134.90 | $436.52 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $2,884.03 | Facility | None | $1,202.26 | $1,318.26 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $851.14 | $1,148.15 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $208.93 | Professional | 26 · Professional part | $123.03 | $144.54 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,023.29 Typical High $1,445.44 | Professional | TC · Technical part | $724.44 | $1,023.29 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $3,890.45 | Professional | None | $870.96 | $1,174.90 | $3,890.45 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $616.60 | Professional | 26 · Professional part | $131.83 | $173.78 | $616.60 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $3,235.94 | Professional | TC · Technical part | $776.25 | $1,023.29 | $3,235.94 |
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 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,023.29 Typical High $1,096.48 | Professional | None (both parts) | $1,000.00 | $1,023.29 | $1,096.48 |
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 $2,187.76 Median $2,187.76 Typical High $2,511.89 | Facility | None | $2,187.76 | $2,187.76 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,174.90 Typical High $1,905.46 | Professional | None (both parts) | $912.01 | $1,174.90 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $151.36 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,023.29 Typical High $1,698.24 | Professional | TC · Technical part | $794.33 | $1,023.29 | $1,698.24 |
2 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 Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $426.58 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $169.82 | $186.21 | $186.21 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$1,072
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.