How much rates vary
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 $109.65 Median $128.82 Typical High $275.42 | Facility | None | $109.65 | $128.82 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $117.49 | $128.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $26.30 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $104.71 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $95.50 | $117.49 | $218.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $457.09 Typical High $1,659.59 | Facility | None | $151.36 | $457.09 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.18 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $28.18 | $91.20 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $933.25 | Facility | None | $165.96 | $257.04 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $123.03 | $151.36 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $27.54 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $128.82 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $380.19 | Professional | None | $125.89 | $169.82 | $380.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $104.71 | Professional | 26 · Professional part | $24.55 | $33.88 | $104.71 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $138.04 | $281.84 |
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 $144.54 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $144.54 | $147.91 | $162.18 |
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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $131.83 | $186.21 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $21.38 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $162.18 | $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 $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $25.70 | $25.70 |
Where Illinois sits
The same service costs 3.3 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· 41st of 51
$141
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.