How much rates vary
Facilitymedian $155 · 10th to 90th $31 to $427Professionalmedian $28 · 10th to 90th $5 to $85
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 $21.88 Median $30.90 Typical High $52.48 | Facility | None | $21.88 | $30.90 | $52.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.24 Median $4.57 Typical High $5.89 | Facility | 26 · Professional part | $3.24 | $4.57 | $5.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $33.88 | Facility | TC · Technical part | $18.62 | $26.30 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $23.99 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.39 Typical High $6.03 | Professional | 26 · Professional part | $3.24 | $3.39 | $6.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $23.44 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $20.42 | $26.30 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.40 Median $3.89 Typical High $5.50 | Professional | 26 · Professional part | $2.40 | $3.89 | $5.50 |
BCBS Illinois Setting Facility Modifier None Typical Low $104.71 Median $204.17 Typical High $446.68 | Facility | None | $104.71 | $204.17 | $446.68 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $3.63 Median $21.88 Typical High $38.90 | Professional | None (both parts) | $3.63 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $36.31 Typical High $158.49 | Professional | None (both parts) | $23.44 | $36.31 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $5.01 Typical High $5.50 | Professional | 26 · Professional part | $3.16 | $5.01 | $5.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $31.62 Typical High $154.88 | Professional | TC · Technical part | $20.42 | $31.62 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $363.08 | Professional | None | $23.44 | $32.36 | $363.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $4.47 Typical High $57.54 | Professional | 26 · Professional part | $3.16 | $4.47 | $57.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $281.84 | Professional | TC · Technical part | $19.95 | $28.18 | $281.84 |
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 $26.30 Median $27.54 Typical High $29.51 | Professional | None (both parts) | $26.30 | $27.54 | $29.51 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $20.42 Typical High $50.12 | Professional | None (both parts) | $10.47 | $20.42 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $112.20 | Professional | None (both parts) | $25.12 | $40.74 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $4.79 Typical High $6.46 | Professional | 26 · Professional part | $3.16 | $4.79 | $6.46 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $89.13 | Professional | TC · Technical part | $21.88 | $34.67 | $89.13 |
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 $11.75 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $11.75 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.68 | $5.37 | $5.37 |
Where Illinois sits
The same service costs 2.9 times more in Kansas 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· 43rd of 51
$28.18
KS $74.13MD $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.