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 $204.17 Typical High $537.03 | Facility | None | $181.97 | $204.17 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $181.97 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $93.33 | $100.00 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $87.10 | $104.71 | $104.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $2,137.96 | Facility | None | $478.63 | $758.58 | $2,137.96 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $95.50 | $181.97 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $177.83 | $275.42 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $123.03 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $138.04 | $204.17 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $741.31 | Professional | None | $309.03 | $436.52 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $354.81 | Professional | 26 · Professional part | $93.33 | $125.89 | $354.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $213.80 | $309.03 | $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 $363.08 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $363.08 | $371.54 | $426.58 |
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 Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $269.15 | $354.81 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $120.23 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $234.42 | $416.87 |
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 $91.20 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $40.74 | $40.74 |
Where Illinois sits
The same service costs 3.1 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
$275
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.