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 $120.23 Median $134.90 Typical High $316.23 | Facility | None | $120.23 | $134.90 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $102.33 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $26.30 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $109.65 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $562.34 Typical High $2,089.30 | Facility | None | $151.36 | $562.34 | $2,089.30 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $40.74 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $40.74 | $138.04 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $1,258.93 | Facility | None | $186.21 | $323.59 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $158.49 | $199.53 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $38.02 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $125.89 | $154.88 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $436.52 | Professional | None | $162.18 | $223.87 | $436.52 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $50.12 | $95.50 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $173.78 | $346.74 |
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 $190.55 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $190.55 | $194.98 | $208.93 |
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 $158.49 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $158.49 | $229.09 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $36.31 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $194.98 | $281.84 |
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 $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
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
$182
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.