How much rates vary
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 $234.42 Median $309.03 Typical High $575.44 | Facility | None | $234.42 | $309.03 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $234.42 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $41.69 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $194.98 | $218.78 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $229.09 | $245.47 | $436.52 |
BCBS Illinois Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $2,754.23 | Facility | None | $338.84 | $549.54 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $45.71 Median $147.91 Typical High $436.52 | Professional | None (both parts) | $45.71 | $147.91 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $707.95 Typical High $1,949.84 | Facility | None | $239.88 | $707.95 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $245.47 | $316.23 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $45.71 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $269.15 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $912.01 | Professional | None | $251.19 | $338.84 | $912.01 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $158.49 | Professional | 26 · Professional part | $41.69 | $56.23 | $158.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $281.84 | $707.95 |
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 $288.40 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $288.40 | $295.12 | $323.59 |
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 $251.19 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $251.19 | $323.59 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $208.93 | $275.42 | $446.68 |
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 $114.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $52.48 | $52.48 |
Where Illinois sits
The same service costs 3.1 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· 31st of 51
$288
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.