How much rates vary
Facilitymedian $832 · 10th to 90th $170 to $10,233Professionalmedian $380 · 10th to 90th $229 to $955
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 $316.23 Median $3,311.31 Typical High $14,454.40 | Facility | None | $316.23 | $3,311.31 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $239.88 | $275.42 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $169.82 | $208.93 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $66.07 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
BCBS Illinois Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $1,659.59 | Facility | None | $426.58 | $831.76 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $204.17 | $346.74 | $457.09 |
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 $245.47 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $245.47 | $389.05 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $257.04 Typical High $338.84 | Professional | 26 · Professional part | $186.21 | $257.04 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $93.33 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,862.09 | Professional | None | $537.03 | $794.33 | $1,862.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $251.19 Typical High $549.54 | Professional | 26 · Professional part | $181.97 | $251.19 | $549.54 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $537.03 Typical High $1,174.90 | Professional | TC · Technical part | $371.54 | $537.03 | $1,174.90 |
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 $645.65 Median $660.69 Typical High $741.31 | Professional | None (both parts) | $645.65 | $660.69 | $741.31 |
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 $239.88 Median $575.44 Typical High $2,398.83 | Professional | None (both parts) | $239.88 | $575.44 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $288.40 Typical High $398.11 | Professional | 26 · Professional part | $169.82 | $288.40 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $426.58 Typical High $2,137.96 | Professional | TC · Technical part | $57.54 | $426.58 | $2,137.96 |
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 $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
Where Illinois sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 19th of 51
$407
WI $1,047MD $229
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.