How much rates vary
Facilitymedian $1,549 · 10th to 90th $174 to $5,888Professionalmedian $71 · 10th to 90th $48 to $112
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 $53.70 Median $1,621.81 Typical High $7,762.47 | Facility | None | $53.70 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $48.98 | $53.70 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $41.69 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.48 Typical High $13.18 | Professional | TC · Technical part | $9.77 | $11.48 | $13.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $1,548.82 Typical High $2,344.23 | Facility | None | $144.54 | $1,548.82 | $2,344.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $39.81 | $70.79 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $1,737.80 Typical High $16,595.87 | Facility | None | $23.99 | $1,737.80 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $48.98 | $70.79 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $56.23 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $15.85 Typical High $19.05 | Professional | TC · Technical part | $10.47 | $15.85 | $19.05 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $204.17 | Professional | None | $52.48 | $74.13 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $53.70 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $14.13 | $19.95 | $40.74 |
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 $60.26 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $60.26 | $60.26 | $67.61 |
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 $10,964.78 | Facility | None | $676.08 | $1,584.89 | $10,964.78 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $53.70 | $85.11 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $63.10 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $14.13 | $21.88 | $35.48 |
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 $23.99 Median $26.30 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $10.72 | $11.48 |
Where Illinois sits
The same service costs 51.3 times more in Oklahoma 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· 30th of 51
$77.62
OK $2,570NY $50.12
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.