How much rates vary
Facilitymedian $646 · 10th to 90th $219 to $1,047Professionalmedian $41 · 10th to 90th $17 to $102
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 $33.88 Median $40.74 Typical High $74.13 | Facility | None | $33.88 | $40.74 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $33.88 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $12.30 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $43.65 | $60.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $851.14 | Facility | None | $416.87 | $645.65 | $851.14 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $15.14 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $15.14 | $33.88 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $37.15 | $102.33 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $13.80 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $89.13 Typical High $91.20 | Professional | TC · Technical part | $20.89 | $89.13 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $97.72 | Professional | None | $21.38 | $38.02 | $97.72 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $9.55 | $24.55 | $41.69 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $21.38 | $56.23 | $89.13 |
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 $1,047.13 Median $1,047.13 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,047.13 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $45.71 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $12.59 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $48.98 | $79.43 |
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 $16.98 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $16.98 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.51 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 46th of 51
$42.66
AK $110OH $33.11
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.