How much rates vary
Facilitymedian $324 · 10th to 90th $155 to $1,202Professionalmedian $148 · 10th to 90th $39 to $234
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 $117.49 Median $173.78 Typical High $218.78 | Facility | None | $117.49 | $173.78 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $38.90 | Facility | 26 · Professional part | $20.89 | $28.84 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $181.97 | Facility | TC · Technical part | $97.72 | $138.04 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $120.23 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $23.44 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $109.65 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $89.13 | $104.71 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $28.84 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,621.81 | Facility | None | $263.03 | $426.58 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $25.70 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $25.70 | $114.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $281.84 Typical High $1,000.00 | Facility | None | $165.96 | $281.84 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $128.82 | $158.49 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $26.92 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $131.83 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $457.09 | Professional | None | $131.83 | $177.83 | $457.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $114.82 | Professional | 26 · Professional part | $22.91 | $30.90 | $114.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $147.91 | $338.84 |
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 $151.36 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $151.36 | $154.88 | $169.82 |
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 $512.86 Median $512.86 Typical High $575.44 | Facility | None | $512.86 | $512.86 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $134.90 | $194.98 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $27.54 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $169.82 | $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 $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 $23.99 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.92 | $26.92 |
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· 38th of 51
$148
AK $316UT $95.50
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.