How much rates vary
Facilitymedian $1,479 · 10th to 90th $174 to $16,982Professionalmedian $269 · 10th to 90th $195 to $437
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 $199.53 Median $218.78 Typical High $588.84 | Facility | None | $199.53 | $218.78 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $58.88 | $58.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $363.08 Median $776.25 Typical High $1,548.82 | Facility | None | $363.08 | $776.25 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $186.21 | $269.15 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $16,595.87 | Facility | None | $74.13 | $120.23 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $213.80 | $295.12 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $218.78 Typical High $281.84 | Professional | 26 · Professional part | $158.49 | $218.78 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $77.62 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $1,148.15 | Professional | None | $181.97 | $257.04 | $1,148.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $537.03 | Professional | 26 · Professional part | $138.04 | $190.55 | $537.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $66.07 | $186.21 |
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 $229.09 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $229.09 | $229.09 | $245.47 |
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 $194.98 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $194.98 | $338.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $234.42 Typical High $323.59 | Professional | 26 · Professional part | $144.54 | $234.42 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $104.71 | $154.88 |
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 $100.00 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $100.00 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $43.65 | $43.65 |
Where Illinois sits
The same service costs 3.5 times more in Alaska 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· 28th of 51
$269
AK $468UT $132
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.