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 $524.81 Median $758.58 Typical High $758.58 | Facility | None | $524.81 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $524.81 | $616.60 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $134.90 | $144.54 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $575.44 Typical High $758.58 | Professional | TC · Technical part | $501.19 | $575.44 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $169.82 Typical High $380.19 | Professional | 26 · Professional part | $165.96 | $169.82 | $380.19 |
BCBS Illinois Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $2,238.72 | Facility | None | $707.95 | $933.25 | $2,238.72 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $138.04 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $138.04 | $257.04 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $794.33 Typical High $1,698.24 | Facility | None | $309.03 | $794.33 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $251.19 | $363.08 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $218.78 | Professional | 26 · Professional part | $131.83 | $177.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $125.89 | $186.21 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $1,230.27 | Professional | None | $302.00 | $416.87 | $1,230.27 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $181.97 Typical High $691.83 | Professional | 26 · Professional part | $128.82 | $181.97 | $691.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $239.88 | $537.03 |
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 $338.84 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $338.84 | $346.74 | $398.11 |
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 $338.84 Median $616.60 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $616.60 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $177.83 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $177.83 | $478.63 | $933.25 |
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 $263.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $123.03 | $123.03 |
Where Illinois sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 39th of 51
$417
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.