How much rates vary
Facilitymedian $794 · 10th to 90th $288 to $2,399Professionalmedian $257 · 10th to 90th $100 to $407
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 $223.87 Median $288.40 Typical High $363.08 | Facility | None | $223.87 | $288.40 | $363.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $102.33 | Facility | 26 · Professional part | $64.57 | $83.18 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $263.03 | Facility | TC · Technical part | $162.18 | $251.19 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $223.87 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $69.18 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $158.49 | $186.21 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $165.96 | $204.17 | $512.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $2,691.53 | Facility | None | $575.44 | $812.83 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $66.07 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $66.07 | $204.17 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $1,698.24 | Facility | None | $389.05 | $794.33 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $218.78 | $288.40 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $85.11 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $204.17 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $933.25 | Professional | None | $218.78 | $302.00 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $295.12 | Professional | 26 · Professional part | $63.10 | $89.13 | $295.12 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $588.84 | Professional | TC · Technical part | $158.49 | $213.80 | $588.84 |
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 $251.19 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $251.19 | $263.03 | $281.84 |
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 $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $218.78 | $288.40 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $199.53 | $331.13 |
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 $112.20 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $51.29 | $51.29 |
Where Illinois sits
The same service costs 3.5 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· 34th of 51
$257
AK $562UT $158
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.