How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,778 to $10,715Professionalmedian $1,096 · 10th to 90th $437 to $1,698
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 $1,071.52 Median $5,623.41 Typical High $12,589.25 | Facility | None | $1,071.52 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,071.52 Typical High $5,623.41 | Professional | None (both parts) | $933.25 | $1,071.52 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $239.88 | $288.40 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $776.25 Typical High $812.83 | Professional | TC · Technical part | $676.08 | $776.25 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $10,471.29 | Facility | None | $2,570.40 | $3,981.07 | $10,471.29 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $288.40 Median $831.76 Typical High $1,659.59 | Professional | None (both parts) | $288.40 | $831.76 | $1,659.59 |
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 $954.99 Median $1,230.27 Typical High $1,621.81 | Professional | None (both parts) | $954.99 | $1,230.27 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $363.08 Typical High $478.63 | Professional | 26 · Professional part | $263.03 | $363.08 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $831.76 Typical High $1,148.15 | Professional | TC · Technical part | $660.69 | $831.76 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $2,754.23 | Professional | None | $812.83 | $1,202.26 | $2,754.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $346.74 Typical High $660.69 | Professional | 26 · Professional part | $251.19 | $346.74 | $660.69 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $831.76 Typical High $1,548.82 | Professional | TC · Technical part | $616.60 | $831.76 | $1,548.82 |
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 $1,023.29 Median $1,023.29 Typical High $1,148.15 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,148.15 |
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 $912.01 Median $1,380.38 Typical High $1,949.84 | Professional | None (both parts) | $912.01 | $1,380.38 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $416.87 Typical High $562.34 | Professional | 26 · Professional part | $257.04 | $416.87 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $660.69 | $954.99 | $1,412.54 |
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 $691.83 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $691.83 | $794.33 | $794.33 |
Where Illinois sits
The same service costs 4.2 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· 30th of 51
$1,349
WI $3,631NY $871
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.