How much rates vary
Facilitymedian $269 · 10th to 90th $87 to $692Professionalmedian $69 · 10th to 90th $30 to $123
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 $57.54 Median $87.10 Typical High $114.82 | Facility | None | $57.54 | $87.10 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $50.12 | Facility | 26 · Professional part | $26.92 | $38.02 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $50.12 Typical High $67.61 | Facility | TC · Technical part | $32.36 | $50.12 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | None (both parts) | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $28.18 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $34.67 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
BCBS Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $645.65 | Facility | None | $162.18 | $371.54 | $645.65 |
BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $30.20 | $61.66 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $457.09 Typical High $1,148.15 | Facility | None | $70.79 | $457.09 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $69.18 | $109.65 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $28.84 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $177.83 | Professional | TC · Technical part | $37.15 | $64.57 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $275.42 | Professional | None | $61.66 | $87.10 | $275.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $165.96 | Professional | 26 · Professional part | $26.92 | $37.15 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $48.98 Typical High $154.88 | Professional | TC · Technical part | $33.88 | $48.98 | $154.88 |
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 $75.86 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $75.86 | $75.86 | $83.18 |
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 $891.25 Median $891.25 Typical High $1,000.00 | Facility | None | $891.25 | $891.25 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $109.65 | Professional | None (both parts) | $57.54 | $66.07 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $31.62 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $29.51 | $34.67 | $54.95 |
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 $28.84 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 59 · Distinct service | $66.07 | $66.07 | $66.07 |
Where Illinois sits
The same service costs 3.6 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· 25th of 51
$70.79
MN $141TX $38.90
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.