How much rates vary
Facilitymedian $72 · 10th to 90th $48 to $776Professionalmedian $81 · 10th to 90th $51 to $120
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 $72.44 Median $81.28 Typical High $213.80 | Facility | None | $72.44 | $81.28 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $72.44 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $40.74 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $34.67 | $40.74 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $79.43 | $81.28 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $891.25 | Facility | None | $47.86 | $57.54 | $891.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $38.90 | $70.79 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $70.79 | $83.18 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $50.12 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $39.81 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $251.19 | Professional | None | $67.61 | $95.50 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $117.49 | Professional | 26 · Professional part | $34.67 | $47.86 | $117.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $32.36 | $44.67 | $74.13 |
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 $83.18 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $83.18 | $85.11 | $91.20 |
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 $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $60.26 | $77.62 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $46.77 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $30.90 | $54.95 |
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 $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Where Illinois sits
The same service costs 3.3 times more in Alaska 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· 21st of 51
$81.28
AK $162UT $48.98
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.