How much rates vary
Facilitymedian $4,074 · 10th to 90th $708 to $16,596Professionalmedian $245 · 10th to 90th $195 to $398
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 $630.96 Median $3,801.89 Typical High $14,125.38 | Facility | None | $630.96 | $3,801.89 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $204.17 | $234.42 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $91.20 | $91.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,380.38 Median $12,022.64 Typical High $16,595.87 | Facility | None | $1,380.38 | $12,022.64 | $16,595.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $141.25 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $23,988.33 | Facility | None | $512.86 | $707.95 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $208.93 | $251.19 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $125.89 | $151.36 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $102.33 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $537.03 | Professional | None | $199.53 | $295.12 | $537.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $169.82 Typical High $407.38 | Professional | 26 · Professional part | $123.03 | $169.82 | $407.38 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $85.11 | $125.89 | $208.93 |
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 $234.42 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $234.42 | $245.47 | $295.12 |
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 $676.08 Median $1,584.89 Typical High $18,620.87 | Facility | None | $676.08 | $1,584.89 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $208.93 | $309.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $186.21 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $186.21 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $131.83 | $190.55 |
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 $100.00 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $39.81 | $46.77 | $46.77 |
Where Illinois sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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
$302
OK $4,786HI $158
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.