How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,445 to $10,965Professionalmedian $1,413 · 10th to 90th $617 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 $1,148.15 Median $3,630.78 Typical High $10,715.19 | Facility | None | $1,148.15 | $3,630.78 | $10,715.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $338.84 Median $478.63 Typical High $616.60 | Facility | 26 · Professional part | $338.84 | $478.63 | $616.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $977.24 Typical High $1,230.27 | Facility | TC · Technical part | $691.83 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,318.26 Typical High $2,454.71 | Professional | None (both parts) | $1,148.15 | $1,318.26 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $630.96 | Professional | 26 · Professional part | $338.84 | $407.38 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,288.25 | Professional | TC · Technical part | $794.33 | $912.01 | $1,288.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $12,589.25 | Facility | None | $2,570.40 | $3,981.07 | $12,589.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,122.02 Typical High $2,089.30 | Professional | None (both parts) | $407.38 | $1,122.02 | $2,089.30 |
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 $1,548.82 Typical High $2,089.30 | Professional | None (both parts) | $1,202.26 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $512.86 Typical High $660.69 | Professional | 26 · Professional part | $371.54 | $512.86 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Professional | TC · Technical part | $831.76 | $1,047.13 | $1,412.54 |
Hally Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $4,786.30 | Professional | None | $1,023.29 | $1,479.11 | $4,786.30 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $489.78 Typical High $1,698.24 | Professional | 26 · Professional part | $346.74 | $489.78 | $1,698.24 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,000.00 Typical High $1,949.84 | Professional | TC · Technical part | $724.44 | $1,000.00 | $1,949.84 |
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 $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | None (both parts) | $1,258.93 | $1,288.25 | $1,412.54 |
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 $1,202.26 Median $1,819.70 Typical High $2,511.89 | Professional | None (both parts) | $1,202.26 | $1,819.70 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $588.84 Typical High $776.25 | Professional | 26 · Professional part | $363.08 | $588.84 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,258.93 Typical High $1,737.80 | Professional | TC · Technical part | $831.76 | $1,258.93 | $1,737.80 |
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 $870.96 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $870.96 | $1,000.00 | $1,000.00 |
Where Illinois sits
The same service costs 3.8 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· 28th of 51
$1,698
WI $4,467NY $1,175
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.