How much rates vary
Facilitymedian $135 · 10th to 90th $72 to $372Professionalmedian $58 · 10th to 90th $46 to $81
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 $47.86 Median $69.18 Typical High $69.18 | Facility | None | $47.86 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $47.86 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $28.18 | Professional | TC · Technical part | $19.95 | $23.44 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $56.23 | $58.88 | $61.66 |
BCBS Illinois Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $371.54 | Facility | None | $79.43 | $134.90 | $371.54 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $39.81 | $66.07 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $57.54 | $58.88 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $38.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $19.05 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $123.03 | Professional | None | $46.77 | $69.18 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $102.33 | Professional | 26 · Professional part | $27.54 | $39.81 | $102.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $24.55 Typical High $58.88 | Professional | TC · Technical part | $14.79 | $24.55 | $58.88 |
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 $141.25 Median $141.25 Typical High $158.49 | Facility | None | $141.25 | $141.25 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $51.29 | $58.88 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $37.15 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $28.18 | Professional | TC · Technical part | $19.05 | $23.44 | $28.18 |
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 $23.99 Median $27.54 Typical High $30.90 | Professional | 52 · Reduced service | $23.99 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.96 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $10.96 | $12.30 |
Where Illinois sits
The same service costs 3.7 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· 38th of 51
$57.54
AK $170FL $45.71
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.