How much rates vary
Facilitymedian $200 · 10th to 90th $79 to $490Professionalmedian $65 · 10th to 90th $33 to $89
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 $91.20 | Facility | None | $47.86 | $69.18 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $47.86 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $22.91 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $31.62 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.79 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $14.79 | $56.23 | $77.62 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $501.19 | Facility | None | $165.96 | $208.93 | $501.19 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.84 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $28.84 | $64.57 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $63.10 | $83.18 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $28.84 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $57.54 | Professional | TC · Technical part | $36.31 | $54.95 | $57.54 |
Hally Health Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $134.90 | Professional | None | $45.71 | $67.61 | $134.90 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $28.84 | $63.10 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $91.20 | Professional | TC · Technical part | $26.30 | $38.90 | $91.20 |
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 $97.72 | Professional | None (both parts) | $33.11 | $33.11 | $97.72 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $53.70 | $67.61 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $27.54 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $41.69 | $66.07 |
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 $23.44 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $23.44 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.96 Typical High $12.59 | Professional | 53 · Discontinued | $9.55 | $10.96 | $12.59 |
Where Illinois sits
The same service costs 3.5 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· 25th of 51
$64.57
AK $162FL $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.