How much rates vary
Facilitymedian $372 · 10th to 90th $214 to $912Professionalmedian $145 · 10th to 90th $52 to $251
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 $102.33 Median $117.49 Typical High $354.81 | Facility | None | $102.33 | $117.49 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $109.65 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $83.18 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $147.91 | $147.91 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $977.24 | Facility | None | $269.15 | $363.08 | $977.24 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $45.71 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $45.71 | $151.36 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $128.82 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $107.15 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $338.84 | Professional | None | $154.88 | $218.78 | $338.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $194.98 | Professional | 26 · Professional part | $45.71 | $60.26 | $194.98 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $147.91 | $218.78 |
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 $186.21 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $186.21 | $190.55 | $204.17 |
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 $512.86 Median $512.86 Typical High $575.44 | Facility | None | $512.86 | $512.86 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $102.33 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $51.29 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $87.10 | $128.82 |
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 $51.29 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $23.99 | $26.92 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in New York. 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· 27th of 51
$148
AK $347NY $107
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.