How much rates vary
Facilitymedian $363 · 10th to 90th $138 to $1,585Professionalmedian $162 · 10th to 90th $33 to $245
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 $114.82 Median $158.49 Typical High $288.40 | Facility | None | $114.82 | $158.49 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $120.23 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $22.39 | $25.70 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $109.65 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $114.82 | $114.82 | $117.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $537.03 Typical High $2,137.96 | Facility | None | $151.36 | $537.03 | $2,137.96 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $27.54 Median $89.13 Typical High $245.47 | Professional | None (both parts) | $27.54 | $89.13 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $1,148.15 | Facility | None | $138.04 | $316.23 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $151.36 | $165.96 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $25.12 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $147.91 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $512.86 | Professional | None | $138.04 | $199.53 | $512.86 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $31.62 Typical High $107.15 | Professional | 26 · Professional part | $20.42 | $31.62 | $107.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $407.38 | Professional | TC · Technical part | $117.49 | $165.96 | $407.38 |
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 $169.82 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $169.82 | $173.78 | $190.55 |
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 $158.49 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $158.49 | $213.80 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $13.80 | $24.55 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $131.83 | $194.98 | $269.15 |
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 $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.92 | $26.92 |
Where Illinois sits
The same service costs 3.7 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
$162
AK $363UT $97.72
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.