How much rates vary
Facilitymedian $603 · 10th to 90th $158 to $2,630Professionalmedian $209 · 10th to 90th $138 to $339
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 $190.55 Median $630.96 Typical High $5,623.41 | Facility | None | $190.55 | $630.96 | $5,623.41 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $138.04 | Facility | 26 · Professional part | $81.28 | $107.15 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $141.25 | Facility | TC · Technical part | $81.28 | $114.82 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $169.82 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $79.43 | $93.33 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $104.71 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $2,290.87 | Facility | None | $457.09 | $724.44 | $2,290.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $91.20 | $169.82 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $173.78 | $218.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $120.23 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $478.63 | Professional | None | $177.83 | $257.04 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $81.28 | $112.20 | $269.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $144.54 | $245.47 |
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 $204.17 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $204.17 | $213.80 | $257.04 |
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 $138.04 Median $457.09 Typical High $1,949.84 | Facility | None | $138.04 | $457.09 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $181.97 | $263.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $120.23 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $154.88 | $218.78 |
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 $85.11 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $33.88 | $38.90 | $38.90 |
Where Illinois sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 21st of 51
$229
WI $562HI $132
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.