How much rates vary
Facilitymedian $186 · 10th to 90th $100 to $347Professionalmedian $39 · 10th to 90th $14 to $66
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 $28.84 Median $31.62 Typical High $199.53 | Facility | None | $28.84 | $31.62 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $45.71 | Professional | None (both parts) | $28.84 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $10.72 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $28.84 | Professional | TC · Technical part | $18.62 | $20.89 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | None (both parts) | $30.90 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $11.75 | $12.02 | $15.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $371.54 | Facility | None | $165.96 | $186.21 | $371.54 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $11.75 Median $32.36 Typical High $66.07 | Professional | None (both parts) | $11.75 | $32.36 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $30.90 | $41.69 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $15.85 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $25.12 | $38.90 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $269.15 | Professional | None | $33.11 | $43.65 | $269.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $131.83 | Professional | 26 · Professional part | $11.48 | $15.49 | $131.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $128.82 | Professional | TC · Technical part | $21.38 | $28.18 | $128.82 |
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 $36.31 Median $36.31 Typical High $39.81 | Professional | None (both parts) | $36.31 | $36.31 | $39.81 |
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 $302.00 Median $302.00 Typical High $346.74 | Facility | None | $302.00 | $302.00 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $33.88 | $43.65 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $16.98 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $26.30 | $44.67 |
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 $14.45 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.46 |
Where Illinois sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$38.90
AK $83.18FL $30.90
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.