How much rates vary
Facilitymedian $162 · 10th to 90th $27 to $302Professionalmedian $19 · 10th to 90th $15 to $54
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 $17.38 Median $18.62 Typical High $41.69 | Facility | None | $17.38 | $18.62 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $14.79 | Professional | 26 · Professional part | $13.18 | $14.45 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $3.31 | $4.07 | $4.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.18 Median $158.49 Typical High $223.87 | Facility | None | $28.18 | $158.49 | $223.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.42 Typical High $37.15 | Professional | None (both parts) | $15.85 | $20.42 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $223.87 Typical High $398.11 | Facility | None | $7.94 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $19.05 | $53.70 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $16.60 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $3.63 | $37.15 | $37.15 |
Hally Health Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $138.04 | Professional | None | $13.49 | $21.88 | $138.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $151.36 | Professional | 26 · Professional part | $10.96 | $15.85 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $4.37 Typical High $151.36 | Professional | TC · Technical part | $2.69 | $4.37 | $151.36 |
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 $302.00 Median $302.00 Typical High $346.74 | Facility | None | $302.00 | $302.00 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $25.70 Typical High $47.86 | Professional | None (both parts) | $15.14 | $25.70 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $16.98 | Professional | 26 · Professional part | $12.30 | $13.80 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.79 Typical High $33.11 | Professional | TC · Technical part | $2.75 | $4.79 | $33.11 |
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 $8.32 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.31 | $3.72 | $3.72 |
Where Illinois sits
The same service costs 2.5 times more in California than in Texas. 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· 34th of 51
$18.62
CA $40.74TX $16.22
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.