How much rates vary
Facilitymedian $1,950 · 10th to 90th $631 to $15,136Professionalmedian $302 · 10th to 90th $224 to $468
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 $269.15 Median $1,621.81 Typical High $7,762.47 | Facility | None | $269.15 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $234.42 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $74.13 | Professional | TC · Technical part | $61.66 | $72.44 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $616.60 Median $10,000.00 Typical High $15,135.61 | Facility | None | $616.60 | $10,000.00 | $15,135.61 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $194.98 | $331.13 | $446.68 |
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 $239.88 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $239.88 | $295.12 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $177.83 | $208.93 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $66.07 | $85.11 | $117.49 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $616.60 | Professional | None | $229.09 | $338.84 | $616.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $234.42 Typical High $562.34 | Professional | 26 · Professional part | $169.82 | $234.42 | $562.34 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $102.33 | $199.53 |
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 $263.03 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $263.03 | $281.84 | $331.13 |
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 $239.88 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $239.88 | $354.81 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $257.04 Typical High $380.19 | Professional | 26 · Professional part | $169.82 | $257.04 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $107.15 | $162.18 |
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 $112.20 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $53.70 | $53.70 |
Where Illinois sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 27th of 51
$372
LA $1,288AL $224
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.