How much rates vary
Facilitymedian $138 · 10th to 90th $54 to $537Professionalmedian $85 · 10th to 90th $42 to $126
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 $74.13 Median $91.20 Typical High $138.04 | Facility | None | $74.13 | $91.20 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $77.62 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $41.69 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $50.12 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $75.86 | $85.11 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $45.71 | $51.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $602.56 | Facility | None | $53.70 | $181.97 | $602.56 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $40.74 | $72.44 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $114.82 | Facility | None | $50.12 | $75.86 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $79.43 | $93.33 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $52.48 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $47.86 | $64.57 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $199.53 | Professional | None | $74.13 | $104.71 | $199.53 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $50.12 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $53.70 | $91.20 |
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 $93.33 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $93.33 | $93.33 | $100.00 |
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 $58.88 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $58.88 | $75.86 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $46.77 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $31.62 | $63.10 |
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 $40.74 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $18.20 | $18.20 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in New York. 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· 22nd of 51
$85.11
AK $182NY $53.70
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.