How much rates vary
Facilitymedian $288 · 10th to 90th $135 to $1,288Professionalmedian $158 · 10th to 90th $40 to $257
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 $114.82 Median $169.82 Typical High $229.09 | Facility | None | $114.82 | $169.82 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $40.74 | Facility | 26 · Professional part | $21.38 | $30.20 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $186.21 | Facility | TC · Technical part | $93.33 | $147.91 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $120.23 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $23.99 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $109.65 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $107.15 | $114.82 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $20.42 | $32.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $457.09 Typical High $1,819.70 | Facility | None | $151.36 | $457.09 | $1,819.70 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $26.30 Median $87.10 Typical High $245.47 | Professional | None (both parts) | $26.30 | $87.10 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $1,122.02 | Facility | None | $186.21 | $309.03 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $141.25 | $169.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $26.92 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $147.91 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $501.19 | Professional | None | $144.54 | $194.98 | $501.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $125.89 | Professional | 26 · Professional part | $23.99 | $32.36 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $165.96 | $389.05 |
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 $165.96 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $165.96 | $169.82 | $186.21 |
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 $151.36 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $151.36 | $218.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $186.21 | $263.03 |
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 $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $26.30 | $27.54 |
Where Illinois sits
The same service costs 3.7 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· 30th of 51
$162
AK $355UT $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.