How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,148 to $10,233Professionalmedian $1,023 · 10th to 90th $234 to $1,585
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 $794.33 Median $2,511.89 Typical High $9,549.93 | Facility | None | $794.33 | $2,511.89 | $9,549.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,023.29 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $1,023.29 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $138.04 | $158.49 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,230.27 | Professional | TC · Technical part | $676.08 | $851.14 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $162.18 | $173.78 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $11,748.98 | Facility | None | $2,570.40 | $3,981.07 | $11,748.98 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $1,584.89 | Professional | None (both parts) | $154.88 | $457.09 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $6,760.83 | Facility | None | $2,344.23 | $3,311.31 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $263.03 | Professional | 26 · Professional part | $144.54 | $204.17 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $1,230.27 | Professional | TC · Technical part | $724.44 | $870.96 | $1,230.27 |
Hally Health Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $3,311.31 | Professional | None | $794.33 | $1,122.02 | $3,311.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $371.54 | Professional | 26 · Professional part | $138.04 | $190.55 | $371.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $933.25 Typical High $1,819.70 | Professional | TC · Technical part | $691.83 | $933.25 | $1,819.70 |
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 $954.99 Median $977.24 Typical High $1,071.52 | Professional | None (both parts) | $954.99 | $977.24 | $1,071.52 |
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 $1,318.26 Median $4,168.69 Typical High $11,220.18 | Facility | None | $1,318.26 | $4,168.69 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,258.93 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $1,258.93 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $234.42 Typical High $316.23 | Professional | 26 · Professional part | $144.54 | $234.42 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,000.00 Typical High $1,479.11 | Professional | TC · Technical part | $691.83 | $1,000.00 | $1,479.11 |
1 more rate 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 54 · Surgery only Typical Low $660.69 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $660.69 | $758.58 | $758.58 |
Where Illinois sits
The same service costs 4.3 times more in Wisconsin 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· 33rd of 51
$1,230
WI $3,467NY $813
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.