How much rates vary
Facilitymedian $141 · 10th to 90th $37 to $407Professionalmedian $33 · 10th to 90th $13 to $49
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 $25.12 Median $38.02 Typical High $54.95 | Facility | None | $25.12 | $38.02 | $54.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $14.45 | Facility | 26 · Professional part | $7.76 | $10.96 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $34.67 | Facility | TC · Technical part | $17.38 | $25.70 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $25.70 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $8.32 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $19.50 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $23.44 | $27.54 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $11.48 | Professional | 26 · Professional part | $8.51 | $10.23 | $11.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $389.05 | Facility | None | $87.10 | $213.80 | $389.05 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $8.91 Median $23.99 Typical High $46.77 | Professional | None (both parts) | $8.91 | $23.99 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $223.87 Typical High $660.69 | Facility | None | $61.66 | $223.87 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $47.86 | Professional | None (both parts) | $33.88 | $43.65 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $8.51 | $9.33 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $35.48 | Professional | TC · Technical part | $23.99 | $33.88 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $134.90 | Professional | None | $26.30 | $37.15 | $134.90 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.22 Typical High $39.81 | Professional | 26 · Professional part | $8.13 | $11.22 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $85.11 | Professional | TC · Technical part | $18.20 | $26.30 | $85.11 |
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 $32.36 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $32.36 | $33.11 | $36.31 |
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 $512.86 Median $512.86 Typical High $575.44 | Facility | None | $512.86 | $512.86 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $63.10 | Professional | None (both parts) | $33.11 | $38.02 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $9.12 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $28.84 | $47.86 |
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 $12.59 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.59 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.01 | $5.62 | $5.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 59 · Distinct service | $26.30 | $26.30 | $28.18 |
Where Illinois sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 34th of 51
$33.11
MN $67.61TX $26.92
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.