How much rates vary
Facilitymedian $151 · 10th to 90th $76 to $417Professionalmedian $48 · 10th to 90th $22 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 $35.48 Median $40.74 Typical High $107.15 | Facility | None | $35.48 | $40.74 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $35.48 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $16.22 | $17.78 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | TC · Technical part | $19.50 | $22.91 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None (both parts) | $43.65 | $43.65 | $44.67 |
BCBS Illinois Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $426.58 | Facility | None | $79.43 | $158.49 | $426.58 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $22.39 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $22.39 | $47.86 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $47.86 | $60.26 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $25.12 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $35.48 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $107.15 | Professional | None | $33.88 | $51.29 | $107.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $67.61 | Professional | 26 · Professional part | $15.49 | $22.39 | $67.61 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $53.70 | Professional | TC · Technical part | $18.62 | $26.30 | $53.70 |
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 $40.74 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $40.74 | $52.48 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $18.20 | $21.38 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $32.36 | $51.29 |
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 $17.78 Median $20.42 Typical High $23.44 | Professional | 52 · Reduced service | $17.78 | $20.42 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.13 Typical High $9.33 | Professional | 53 · Discontinued | $7.08 | $8.13 | $9.33 |
Where Illinois sits
The same service costs 3.4 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· 28th of 51
$47.86
AK $123UT $36.31
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.