How much rates vary
Facilitymedian $661 · 10th to 90th $123 to $7,079Professionalmedian $295 · 10th to 90th $95 to $676
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 $100.00 Median $630.96 Typical High $7,762.47 | Facility | None | $100.00 | $630.96 | $7,762.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $125.89 | Facility | 26 · Professional part | $60.26 | $89.13 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $28.18 Typical High $38.90 | Facility | TC · Technical part | $16.60 | $28.18 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $114.82 | $131.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $100.00 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $61.66 | Professional | TC · Technical part | $27.54 | $32.36 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $70.79 | $72.44 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $1,949.84 | Facility | None | $416.87 | $812.83 | $1,949.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $66.07 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $66.07 | $223.87 | $416.87 |
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 $85.11 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $85.11 | $154.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $66.07 | $117.49 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.02 Typical High $162.18 | Professional | TC · Technical part | $19.95 | $38.02 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $1,047.13 | Professional | None | $257.04 | $446.68 | $1,047.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $537.03 | Professional | 26 · Professional part | $57.54 | $81.28 | $537.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $354.81 | $575.44 |
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 $275.42 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $275.42 | $371.54 | $436.52 |
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 $363.08 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $363.08 | $575.44 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $251.19 Typical High $371.54 | Professional | 26 · Professional part | $158.49 | $251.19 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $346.74 | $501.19 |
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 $79.43 | Professional | 52 · Reduced service | $57.54 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $31.62 | Professional | 53 · Discontinued | $22.91 | $26.30 | $31.62 |
Where Illinois sits
The same service costs 4.8 times more in Nebraska 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
$331
NE $724SC $151
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.