How much rates vary
Facilitymedian $224 · 10th to 90th $110 to $933Professionalmedian $155 · 10th to 90th $102 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 $109.65 Median $151.36 Typical High $151.36 | Facility | None | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $109.65 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $60.26 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $58.88 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $1,202.26 | Facility | None | $151.36 | $436.52 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $67.61 | $123.03 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $537.03 | Facility | None | $93.33 | $173.78 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $120.23 | $190.55 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $72.44 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $57.54 | $95.50 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $676.08 | Professional | None | $120.23 | $165.96 | $676.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $446.68 | Professional | 26 · Professional part | $61.66 | $85.11 | $446.68 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $269.15 | Professional | TC · Technical part | $58.88 | $81.28 | $269.15 |
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 $141.25 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $141.25 | $141.25 | $151.36 |
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 $194.98 Typical High $263.03 | Professional | None (both parts) | $123.03 | $194.98 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $75.86 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $104.71 | $158.49 |
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 $54.95 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $23.99 | $24.55 |
Where Illinois sits
The same service costs 4.6 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
$158
AK $316UT $69.18
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.