How much rates vary
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 $114.82 Median $128.82 Typical High $354.81 | Facility | None | $114.82 | $128.82 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $56.23 | $64.57 | $64.57 |
BCBS Illinois Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $933.25 | Facility | None | $316.23 | $645.65 | $933.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $60.26 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $60.26 | $117.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $575.44 Typical High $1,380.38 | Facility | None | $120.23 | $575.44 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $114.82 | $144.54 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $77.62 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $72.44 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $316.23 | Professional | None | $109.65 | $154.88 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $75.86 | $204.17 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $75.86 | $120.23 |
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 $134.90 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $134.90 | $138.04 | $147.91 |
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 $102.33 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $102.33 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $66.07 | $102.33 |
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 $57.54 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
Where Illinois sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$129
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.