How much rates vary
Facilitymedian $240 · 10th to 90th $123 to $1,047Professionalmedian $132 · 10th to 90th $35 to $204
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 $102.33 Median $151.36 Typical High $251.19 | Facility | None | $102.33 | $151.36 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $36.31 | Facility | 26 · Professional part | $19.50 | $25.70 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $154.88 | Facility | TC · Technical part | $83.18 | $114.82 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $112.20 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $22.39 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $102.33 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $85.11 | $91.20 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $17.38 | $19.95 | $28.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $389.05 Typical High $1,380.38 | Facility | None | $151.36 | $389.05 | $1,380.38 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $23.44 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $23.44 | $77.62 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $912.01 | Facility | None | $154.88 | $251.19 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $117.49 | $154.88 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $25.70 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $95.50 | $128.82 | $165.96 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $426.58 | Professional | None | $120.23 | $165.96 | $426.58 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $154.88 | Professional | 26 · Professional part | $21.88 | $30.20 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $131.83 | $263.03 |
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 $138.04 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $138.04 | $141.25 | $154.88 |
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 $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 $123.03 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $123.03 | $173.78 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $27.54 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $144.54 | $204.17 |
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 $56.23 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $25.12 | $25.12 |
Where Illinois sits
The same service costs 4.0 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· 38th of 51
$135
MN $380UT $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.