How much rates vary
Facilitymedian $126 · 10th to 90th $33 to $324Professionalmedian $32 · 10th to 90th $13 to $65
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 $25.70 Median $33.11 Typical High $43.65 | Facility | None | $25.70 | $33.11 | $43.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $12.88 | Facility | 26 · Professional part | $7.59 | $10.23 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $30.20 | Facility | TC · Technical part | $18.20 | $22.91 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $25.70 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $13.18 | Professional | 26 · Professional part | $7.59 | $8.32 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $20.89 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $19.50 | $28.84 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $10.72 | Professional | 26 · Professional part | $6.31 | $9.33 | $10.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $426.58 | Facility | None | $97.72 | $165.96 | $426.58 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $8.32 Median $25.70 Typical High $47.86 | Professional | None (both parts) | $8.32 | $25.70 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $25.12 | $39.81 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $10.47 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $18.20 | $27.54 | $58.88 |
Hally Health Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $234.42 | Professional | None | $25.70 | $35.48 | $234.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $42.66 | Professional | 26 · Professional part | $7.41 | $10.47 | $42.66 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.12 Typical High $190.55 | Professional | TC · Technical part | $17.78 | $25.12 | $190.55 |
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 $28.84 Median $29.51 Typical High $32.36 | Professional | None (both parts) | $28.84 | $29.51 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $22.39 Typical High $25.70 | Professional | None (both parts) | $11.22 | $22.39 | $25.70 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $26.92 | $38.90 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.00 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $26.92 | $46.77 |
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 $12.88 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.13 | $5.75 | $5.75 |
Where Illinois sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 38th of 51
$32.36
MN $69.18MD $25.70
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.