How much rates vary
Facilitymedian $263 · 10th to 90th $135 to $1,175Professionalmedian $135 · 10th to 90th $41 to $214
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 $107.15 Median $158.49 Typical High $199.53 | Facility | None | $107.15 | $158.49 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $40.74 | Facility | 26 · Professional part | $21.88 | $32.36 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $158.49 | Facility | TC · Technical part | $85.11 | $125.89 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $114.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $16.22 | $23.99 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $104.71 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $93.33 | $144.54 | $169.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $457.09 Typical High $1,659.59 | Facility | None | $151.36 | $457.09 | $1,659.59 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $26.92 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $26.92 | $89.13 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $933.25 | Facility | None | $165.96 | $257.04 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $123.03 | $144.54 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $25.12 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $125.89 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $407.38 | Professional | None | $123.03 | $169.82 | $407.38 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $22.91 | $32.36 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $138.04 | $309.03 |
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 $144.54 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $144.54 | $147.91 | $158.49 |
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 $131.83 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $131.83 | $186.21 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $25.70 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $162.18 | $218.78 |
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 $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
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· 42nd of 51
$135
AK $302UT $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.