How much rates vary
Facilitymedian $129 · 10th to 90th $76 to $513Professionalmedian $47 · 10th to 90th $11 to $74
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 $40.74 Median $46.77 Typical High $123.03 | Facility | None | $40.74 | $46.77 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $40.74 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $8.71 | Professional | 26 · Professional part | $6.92 | $7.76 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $43.65 | Professional | TC · Technical part | $33.11 | $39.81 | $43.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $562.34 | Facility | None | $83.18 | $128.82 | $562.34 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $9.77 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $9.77 | $33.11 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $42.66 | $43.65 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $10.23 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $33.11 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $97.72 | Professional | None | $34.67 | $48.98 | $97.72 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $21.38 | Professional | 26 · Professional part | $6.61 | $8.91 | $21.38 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $40.74 | $74.13 |
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 $43.65 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $43.65 | $51.29 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $9.33 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $41.69 | $67.61 |
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 $20.42 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $20.42 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $9.33 | $10.47 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 37th of 51
$46.77
AK $135NJ $38.90
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.