How much rates vary
Facilitymedian $245 · 10th to 90th $162 to $1,023Professionalmedian $117 · 10th to 90th $56 to $158
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 $117.49 Median $162.18 Typical High $162.18 | Facility | None | $117.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $109.65 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $13.80 | $15.14 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $95.50 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $128.82 | $128.82 | $165.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $1,174.90 | Facility | None | $181.97 | $263.03 | $1,174.90 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $16.60 Median $54.95 Typical High $186.21 | Professional | None (both parts) | $16.60 | $54.95 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $398.11 | Facility | None | $208.93 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $109.65 | $109.65 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $18.20 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $91.20 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $234.42 | Professional | None | $85.11 | $128.82 | $234.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $39.81 | Professional | 26 · Professional part | $11.22 | $16.22 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $114.82 | $194.98 |
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 $87.10 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $87.10 | $102.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $12.88 | $15.14 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $87.10 | $107.15 |
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 $54.95 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $26.30 | $26.30 |
Where Illinois sits
The same service costs 3.0 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· 31st of 51
$117
AK $245FL $81.28
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.