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 $181.97 Median $245.47 Typical High $251.19 | Facility | None | $181.97 | $245.47 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $58.88 | Facility | 26 · Professional part | $41.69 | $58.88 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $194.98 | Facility | TC · Technical part | $138.04 | $186.21 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $147.91 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $41.69 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $138.04 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $117.49 | $117.49 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $2,041.74 | Facility | None | $371.54 | $794.33 | $2,041.74 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $38.90 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $38.90 | $131.83 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $1,698.24 | Facility | None | $281.84 | $794.33 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $141.25 | $177.83 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $48.98 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $138.04 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $660.69 | Professional | None | $151.36 | $208.93 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $199.53 | Professional | 26 · Professional part | $36.31 | $51.29 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $446.68 | Professional | TC · Technical part | $109.65 | $158.49 | $446.68 |
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 $177.83 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $177.83 | $181.97 | $194.98 |
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 $141.25 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $141.25 | $186.21 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $141.25 | $245.47 |
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 $79.43 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $36.31 | $36.31 |
Where Illinois sits
The same service costs 3.0 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· 30th of 51
$182
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.