How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,778 to $12,023Professionalmedian $891 · 10th to 90th $692 to $1,445
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 $812.83 Median $3,801.89 Typical High $14,125.38 | Facility | None | $812.83 | $3,801.89 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $812.83 Typical High $1,548.82 | Professional | None (both parts) | $707.95 | $812.83 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $398.11 | $467.74 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $288.40 | $338.84 | $371.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,041.74 Median $6,760.83 Typical High $11,220.18 | Facility | None | $2,041.74 | $6,760.83 | $11,220.18 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $467.74 Median $794.33 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $7,943.28 Typical High $10,000.00 | Facility | None | $5,754.40 | $7,943.28 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $912.01 Typical High $1,318.26 | Professional | None (both parts) | $724.44 | $912.01 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $512.86 Typical High $776.25 | Professional | 26 · Professional part | $426.58 | $512.86 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $407.38 Typical High $537.03 | Professional | TC · Technical part | $316.23 | $407.38 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,737.80 | Professional | None | $707.95 | $1,047.13 | $1,737.80 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $562.34 Typical High $1,202.26 | Professional | 26 · Professional part | $407.38 | $562.34 | $1,202.26 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $338.84 | $478.63 | $812.83 |
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 $831.76 Median $870.96 Typical High $1,047.13 | Professional | None (both parts) | $831.76 | $870.96 | $1,047.13 |
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 $1,479.11 Median $5,128.61 Typical High $15,848.93 | Facility | None | $1,479.11 | $5,128.61 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $741.31 | $1,122.02 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $630.96 Typical High $912.01 | Professional | 26 · Professional part | $407.38 | $630.96 | $912.01 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $524.81 | $741.31 |
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 $354.81 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $162.18 | $162.18 |
Where Illinois sits
The same service costs 7.1 times more in Texas 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· 30th of 51
$1,148
TX $3,981HI $562
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.