How much rates vary
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 $933.25 Median $2,398.83 Typical High $10,232.93 | Facility | None | $933.25 | $2,398.83 | $10,232.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $630.96 Median $891.25 Typical High $1,148.15 | Facility | 26 · Professional part | $630.96 | $891.25 | $1,148.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $331.13 | Facility | TC · Technical part | $190.55 | $269.15 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $758.58 Typical High $1,174.90 | Professional | 26 · Professional part | $616.60 | $758.58 | $1,174.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $204.17 | $245.47 | $354.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,290.87 Median $6,165.95 Typical High $11,220.18 | Facility | None | $2,290.87 | $6,165.95 | $11,220.18 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $758.58 | $1,258.93 | $1,659.59 |
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 $912.01 Median $1,348.96 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,348.96 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $812.83 Typical High $1,230.27 | Professional | 26 · Professional part | $676.08 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $346.74 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $3,715.35 | Professional | None | $954.99 | $1,479.11 | $3,715.35 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $891.25 Typical High $2,951.21 | Professional | 26 · Professional part | $660.69 | $891.25 | $2,951.21 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $549.54 Typical High $977.24 | Professional | TC · Technical part | $389.05 | $549.54 | $977.24 |
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 $1,148.15 Median $1,202.26 Typical High $1,445.44 | Professional | None (both parts) | $1,148.15 | $1,202.26 | $1,445.44 |
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 $977.24 Median $1,445.44 Typical High $2,238.72 | Professional | None (both parts) | $977.24 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $1,000.00 Typical High $1,479.11 | Professional | 26 · Professional part | $660.69 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $436.52 | $794.33 |
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 $416.87 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Where Illinois sits
The same service costs 5.2 times more in Louisiana 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· 32nd of 51
$1,445
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.