How much rates vary
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 $5,623.41 Typical High $12,589.25 | Facility | None | $1,258.93 | $5,623.41 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,445.44 Typical High $3,715.35 | Professional | None (both parts) | $1,258.93 | $1,445.44 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $512.86 | Professional | 26 · Professional part | $363.08 | $426.58 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,023.29 Typical High $1,380.38 | Professional | TC · Technical part | $891.25 | $1,023.29 | $1,380.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $13,803.84 | Facility | None | $2,570.40 | $3,981.07 | $13,803.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $426.58 | $1,230.27 | $2,290.87 |
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 $1,288.25 Median $1,698.24 Typical High $2,290.87 | Professional | None (both parts) | $1,288.25 | $1,698.24 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $537.03 Typical High $691.83 | Professional | 26 · Professional part | $389.05 | $537.03 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Professional | TC · Technical part | $933.25 | $1,174.90 | $1,584.89 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,621.81 | $2,951.21 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $512.86 Typical High $912.01 | Professional | 26 · Professional part | $371.54 | $512.86 | $912.01 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,122.02 Typical High $1,905.46 | Professional | TC · Technical part | $812.83 | $1,122.02 | $1,905.46 |
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 $1,380.38 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $1,380.38 | $1,412.54 | $1,548.82 |
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 $1,318.26 Median $1,949.84 Typical High $2,754.23 | Professional | None (both parts) | $1,318.26 | $1,949.84 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $616.60 Typical High $831.76 | Professional | 26 · Professional part | $380.19 | $616.60 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,380.38 Typical High $1,949.84 | Professional | TC · Technical part | $912.01 | $1,380.38 | $1,949.84 |
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 $954.99 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $954.99 | $1,096.48 | $1,096.48 |
Where Illinois sits
The same service costs 3.9 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· 29th of 51
$1,862
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.