How much rates vary
Facilitymedian $398 · 10th to 90th $186 to $1,660Professionalmedian $204 · 10th to 90th $56 to $324
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 $162.18 Median $223.87 Typical High $416.87 | Facility | None | $162.18 | $223.87 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $57.54 | Facility | 26 · Professional part | $26.92 | $41.69 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $245.47 | Facility | TC · Technical part | $120.23 | $181.97 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $177.83 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $34.67 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $162.18 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $134.90 | $151.36 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $31.62 | $46.77 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $588.84 Typical High $2,290.87 | Facility | None | $309.03 | $588.84 | $2,290.87 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $37.15 Median $123.03 Typical High $309.03 | Professional | None (both parts) | $37.15 | $123.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $389.05 Typical High $1,445.44 | Facility | None | $199.53 | $389.05 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $186.21 | $218.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $39.81 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $181.97 | $269.15 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $602.56 | Professional | None | $186.21 | $257.04 | $602.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $199.53 | Professional | 26 · Professional part | $34.67 | $46.77 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $208.93 | $416.87 |
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 $213.80 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $213.80 | $223.87 | $239.88 |
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 $199.53 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $199.53 | $281.84 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $162.18 | $234.42 | $331.13 |
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 $87.10 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 59 · Distinct service | $138.04 | $138.04 | $151.36 |
Where Illinois sits
The same service costs 3.5 times more in Minnesota 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· 41st of 51
$204
MN $550UT $158
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.