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 $281.84 Median $436.52 Typical High $446.68 | Facility | None | $281.84 | $436.52 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $218.78 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $269.15 | Professional | TC · Technical part | $169.82 | $234.42 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
BCBS Setting Facility Modifier None Typical Low $346.74 Median $831.76 Typical High $3,548.13 | Facility | None | $346.74 | $831.76 | $3,548.13 |
BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $51.29 | $173.78 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $2,137.96 | Facility | None | $251.19 | $537.03 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $239.88 | $316.23 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $56.23 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $263.03 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $724.44 | Professional | None | $257.04 | $354.81 | $724.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $199.53 | Professional | 26 · Professional part | $47.86 | $64.57 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $288.40 | $549.54 |
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 $302.00 Median $309.03 Typical High $331.13 | Professional | None (both parts) | $302.00 | $309.03 | $331.13 |
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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $269.15 | $363.08 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $57.54 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $316.23 | $467.74 |
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 $125.89 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Where Illinois sits
The same service costs 3.0 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· 35th of 51
$295
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.