How much rates vary
Facilitymedian $5,129 · 10th to 90th $933 to $15,136Professionalmedian $447 · 10th to 90th $324 to $692
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 $389.05 Median $1,621.81 Typical High $7,762.47 | Facility | None | $389.05 | $1,621.81 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $323.59 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $251.19 | $302.00 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $81.28 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $912.01 Median $10,000.00 Typical High $15,135.61 | Facility | None | $912.01 | $10,000.00 | $15,135.61 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $295.12 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $295.12 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $23,988.33 | Facility | None | $512.86 | $707.95 | $23,988.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $338.84 | $436.52 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $331.13 Typical High $489.78 | Professional | 26 · Professional part | $263.03 | $331.13 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $72.44 | $95.50 | $125.89 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $891.25 | Professional | None | $323.59 | $489.78 | $891.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $354.81 Typical High $891.25 | Professional | 26 · Professional part | $257.04 | $354.81 | $891.25 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $125.89 | $234.42 |
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 $371.54 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $371.54 | $407.38 | $467.74 |
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 $354.81 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $354.81 | $537.03 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $398.11 Typical High $562.34 | Professional | 26 · Professional part | $257.04 | $398.11 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $87.10 | $134.90 | $229.09 |
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 $162.18 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $64.57 | $77.62 | $77.62 |
Where Illinois sits
The same service costs 9.5 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· 31st of 51
$513
LA $3,090NY $324
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.