How much rates vary
Facilitymedian $562 · 10th to 90th $151 to $1,950Professionalmedian $195 · 10th to 90th $115 to $302
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 $114.82 Median $257.04 Typical High $371.54 | Facility | None | $114.82 | $257.04 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $114.82 | $134.90 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $64.57 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $69.18 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
BCBS Illinois Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,621.81 | Facility | None | $426.58 | $676.08 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $91.20 | $154.88 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $13,182.57 Typical High $13,803.84 | Facility | None | $7,413.10 | $13,182.57 | $13,803.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $144.54 | $223.87 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $104.71 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $117.49 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $436.52 | Professional | None | $151.36 | $213.80 | $436.52 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $257.04 | Professional | 26 · Professional part | $56.23 | $79.43 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $114.82 | $218.78 |
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 $181.97 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $181.97 | $181.97 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $33.11 | $51.29 | $102.33 |
United Setting Facility Modifier None Typical Low $138.04 Median $457.09 Typical High $1,995.26 | Facility | None | $138.04 | $457.09 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $147.91 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $97.72 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $138.04 | $223.87 |
2 more rates 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 52 · Reduced service Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $26.92 | $26.92 |
Where Illinois sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 24th of 51
$200
WI $417VA $110
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.