How much rates vary
Facilitymedian $676 · 10th to 90th $151 to $8,318Professionalmedian $224 · 10th to 90th $117 to $646
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 $151.36 Median $2,398.83 Typical High $14,125.38 | Facility | None | $151.36 | $2,398.83 | $14,125.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $147.91 | Facility | 26 · Professional part | $89.13 | $114.82 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $117.49 | $131.83 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $100.00 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $32.36 | $46.77 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $645.65 Typical High $2,570.40 | Facility | None | $309.03 | $645.65 | $2,570.40 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $100.00 | $165.96 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Facility | None | $16,595.87 | $16,595.87 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $125.89 | $213.80 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $138.04 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $30.20 | $50.12 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $2,187.76 | Professional | None | $331.13 | $489.78 | $2,187.76 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $616.60 | Professional | 26 · Professional part | $87.10 | $123.03 | $616.60 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $1,318.26 | Professional | TC · Technical part | $263.03 | $371.54 | $1,318.26 |
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 $398.11 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $398.11 | $416.87 | $457.09 |
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 $138.04 Median $501.19 Typical High $12,302.69 | Facility | None | $138.04 | $501.19 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $398.11 Typical High $2,454.71 | Professional | None (both parts) | $169.82 | $398.11 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $194.98 Typical High $275.42 | Professional | 26 · Professional part | $117.49 | $194.98 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $245.47 Typical High $676.08 | Professional | TC · Technical part | $25.70 | $245.47 | $676.08 |
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 $57.54 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $26.30 | $28.84 |
Where Illinois sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 21st of 51
$269
TN $2,344SC $126
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.