How much rates vary
Facilitymedian $204 · 10th to 90th $87 to $794Professionalmedian $91 · 10th to 90th $21 to $148
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 $72.44 Median $102.33 Typical High $190.55 | Facility | None | $72.44 | $102.33 | $190.55 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $21.38 | Facility | 26 · Professional part | $11.22 | $15.85 | $21.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $117.49 | Facility | TC · Technical part | $61.66 | $87.10 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $77.62 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $11.48 | $13.49 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $72.44 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $61.66 | $61.66 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.45 Typical High $21.88 | Professional | 26 · Professional part | $9.77 | $14.45 | $21.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $1,047.13 | Facility | None | $169.82 | $281.84 | $1,047.13 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $14.13 Median $45.71 Typical High $138.04 | Professional | None (both parts) | $14.13 | $45.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $660.69 | Facility | None | $117.49 | $181.97 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $81.28 | $97.72 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $14.79 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $83.18 | $125.89 |
Hally Health Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $147.91 | Professional | None | $81.28 | $112.20 | $147.91 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $72.44 | Professional | 26 · Professional part | $12.59 | $17.38 | $72.44 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $91.20 | $138.04 |
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 $95.50 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $95.50 | $97.72 | $107.15 |
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 $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $87.10 | $125.89 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $15.49 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $109.65 | $151.36 |
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 $38.02 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $15.49 | $17.38 | $17.38 |
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· 42nd of 51
$91.20
AK $209UT $63.10
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.