How much rates vary
Facilitymedian $3,236 · 10th to 90th $741 to $14,125Professionalmedian $550 · 10th to 90th $324 to $871
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 $812.83 Median $3,630.78 Typical High $14,125.38 | Facility | None | $812.83 | $3,630.78 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $457.09 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $263.03 | $309.03 | $309.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $9,772.37 | Facility | None | $1,288.25 | $2,137.96 | $9,772.37 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $213.80 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $213.80 | $457.09 | $812.83 |
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 $478.63 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $478.63 | $616.60 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $245.47 Typical High $316.23 | Professional | 26 · Professional part | $194.98 | $245.47 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $295.12 | $371.54 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $1,202.26 | Professional | None | $426.58 | $660.69 | $1,202.26 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $245.47 Typical High $588.84 | Professional | 26 · Professional part | $173.78 | $245.47 | $588.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $426.58 | $707.95 |
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 $575.44 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $575.44 | $588.84 | $724.44 |
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 $208.93 Median $3,388.44 Typical High $20,892.96 | Facility | None | $208.93 | $3,388.44 | $20,892.96 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $467.74 | $602.56 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | 26 · Professional part | $177.83 | $239.88 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $602.56 | Professional | TC · Technical part | $288.40 | $363.08 | $602.56 |
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 $229.09 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $104.71 | $104.71 |
Where Illinois sits
The same service costs 3.0 times more in Wisconsin than in North 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· 26th of 51
$562
WI $1,000NC $331
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.