How much rates vary
Facilitymedian $245 · 10th to 90th $166 to $427Professionalmedian $68 · 10th to 90th $49 to $107
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 $61.66 Median $66.07 Typical High $141.25 | Facility | None | $61.66 | $66.07 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $61.66 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $42.66 | $44.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $18.62 | $21.38 | $21.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $426.58 | Facility | None | $169.82 | $245.47 | $426.58 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $47.86 | $66.07 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $186.21 Typical High $407.38 | Facility | None | $42.66 | $186.21 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $66.07 | $83.18 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $57.54 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $25.70 | $32.36 |
Hally Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $257.04 | Professional | None | $63.10 | $89.13 | $257.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $218.78 | Professional | 26 · Professional part | $43.65 | $60.26 | $218.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $18.62 | $26.92 | $48.98 |
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 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $83.18 | Professional | None (both parts) | $77.62 | $79.43 | $83.18 |
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 $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $58.88 | $81.28 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $57.54 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $23.99 | $38.90 |
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 $30.90 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $13.18 | $13.49 |
Where Illinois sits
The same service costs 3.9 times more in Alaska 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· 29th of 51
$69.18
AK $170TX $43.65
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.