How much rates vary
Facilitymedian $457 · 10th to 90th $224 to $2,138Professionalmedian $263 · 10th to 90th $65 to $417
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 $199.53 Median $288.40 Typical High $389.05 | Facility | None | $199.53 | $288.40 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $66.07 | Facility | 26 · Professional part | $35.48 | $48.98 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $323.59 | Facility | TC · Technical part | $165.96 | $239.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $199.53 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $169.82 | $208.93 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $173.78 | $186.21 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $31.62 | $52.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $691.83 Typical High $3,090.30 | Facility | None | $309.03 | $691.83 | $3,090.30 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $42.66 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $42.66 | $141.25 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $1,862.09 | Facility | None | $223.87 | $512.86 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $234.42 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $42.66 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $234.42 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $724.44 | Professional | None | $234.42 | $323.59 | $724.44 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $181.97 | Professional | 26 · Professional part | $38.90 | $52.48 | $181.97 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $275.42 | $537.03 |
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 $275.42 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $275.42 | $281.84 | $309.03 |
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 $251.19 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $251.19 | $346.74 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $218.78 | $309.03 | $426.58 |
3 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 $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 59 · Distinct service | $173.78 | $173.78 | $177.83 |
Where Illinois sits
The same service costs 3.2 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
$263
AK $603UT $191
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.