How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,479 to $12,023Professionalmedian $1,380 · 10th to 90th $589 to $2,188
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 $1,258.93 Median $5,128.61 Typical High $12,302.69 | Facility | None | $1,258.93 | $5,128.61 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,348.96 Typical High $3,715.35 | Professional | None (both parts) | $1,174.90 | $1,348.96 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $331.13 | $389.05 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,023.29 | Professional | TC · Technical part | $831.76 | $977.24 | $1,023.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $13,182.57 | Facility | None | $2,570.40 | $3,981.07 | $13,182.57 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,148.15 Typical High $2,137.96 | Professional | None (both parts) | $389.05 | $1,148.15 | $2,137.96 |
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 $1,202.26 Median $1,584.89 Typical High $2,089.30 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $478.63 Typical High $630.96 | Professional | 26 · Professional part | $354.81 | $478.63 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,096.48 Typical High $1,445.44 | Professional | TC · Technical part | $851.14 | $1,096.48 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $3,890.45 | Professional | None | $1,047.13 | $1,513.56 | $3,890.45 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $457.09 Typical High $891.25 | Professional | 26 · Professional part | $338.84 | $457.09 | $891.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,047.13 Typical High $2,041.74 | Professional | TC · Technical part | $758.58 | $1,047.13 | $2,041.74 |
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 $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,445.44 |
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 $1,174.90 Median $1,778.28 Typical High $2,511.89 | Professional | None (both parts) | $1,174.90 | $1,778.28 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $549.54 Typical High $741.31 | Professional | 26 · Professional part | $346.74 | $549.54 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,258.93 Typical High $1,778.28 | Professional | TC · Technical part | $831.76 | $1,258.93 | $1,778.28 |
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 $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $891.25 | $1,023.29 | $1,023.29 |
Where Illinois sits
The same service costs 4.0 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· 31st of 51
$1,622
WI $4,467NY $1,122
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.