How much rates vary
Facilitymedian $2,188 · 10th to 90th $813 to $10,965Professionalmedian $468 · 10th to 90th $309 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 $467.74 Median $3,235.94 Typical High $14,125.38 | Facility | None | $467.74 | $3,235.94 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $263.03 | $263.03 | $263.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,148.15 | $1,778.28 | $3,388.44 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $309.03 | $467.74 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $1,737.80 Typical High $16,595.87 | Facility | None | $190.55 | $1,737.80 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $398.11 | $575.44 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $446.68 | Professional | 26 · Professional part | $275.42 | $331.13 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $371.54 | Professional | TC · Technical part | $93.33 | $131.83 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $1,230.27 | Professional | None | $323.59 | $478.63 | $1,230.27 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $354.81 Typical High $1,202.26 | Professional | 26 · Professional part | $245.47 | $354.81 | $1,202.26 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $389.05 | Professional | TC · Technical part | $74.13 | $109.65 | $389.05 |
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 $380.19 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $380.19 | $407.38 | $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 $1,318.26 Median $4,265.80 Typical High $19,054.61 | Facility | None | $1,318.26 | $4,265.80 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $331.13 | $512.86 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $549.54 | Professional | 26 · Professional part | $245.47 | $323.59 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $79.43 | $158.49 | $295.12 |
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 $177.83 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $177.83 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $81.28 | $81.28 |
Where Illinois sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 24th of 51
$468
WI $813UT $240
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.