How much rates vary
Facilitymedian $44 · 10th to 90th $23 to $155Professionalmedian $20 · 10th to 90th $14 to $33
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 $16.60 Median $22.91 Typical High $38.90 | Facility | None | $16.60 | $22.91 | $38.90 |
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 $8.71 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $8.71 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $9.12 Typical High $9.12 | Professional | TC · Technical part | $7.76 | $9.12 | $9.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $186.21 | Facility | None | $37.15 | $44.67 | $186.21 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $9.55 Median $17.78 Typical High $32.36 | Professional | None (both parts) | $9.55 | $17.78 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $42.66 Typical High $89.13 | Facility | None | $18.62 | $42.66 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.99 Typical High $28.18 | Professional | None (both parts) | $18.62 | $23.99 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $11.48 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $12.30 Typical High $14.13 | Professional | TC · Technical part | $9.55 | $12.30 | $14.13 |
Hally Health Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $112.20 | Professional | None | $15.85 | $22.91 | $112.20 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $44.67 | Professional | 26 · Professional part | $7.94 | $11.22 | $44.67 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $11.22 Typical High $22.91 | Professional | TC · Technical part | $7.94 | $11.22 | $22.91 |
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 $19.50 Median $19.95 Typical High $21.88 | Professional | None (both parts) | $19.50 | $19.95 | $21.88 |
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 $69.18 Median $69.18 Typical High $77.62 | Facility | None | $69.18 | $69.18 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.89 Typical High $33.11 | Professional | None (both parts) | $15.85 | $20.89 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $10.47 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.72 Typical High $16.22 | Professional | TC · Technical part | $7.59 | $10.72 | $16.22 |
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 2.7 times more in Minnesota 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· 24th of 51
$20.89
MN $38.02FL $14.13
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.