How much rates vary
Facilitymedian $162 · 10th to 90th $56 to $501Professionalmedian $41 · 10th to 90th $23 to $66
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 $37.15 Median $69.18 Typical High $69.18 | Facility | None | $37.15 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $23.99 Typical High $24.55 | Facility | 26 · Professional part | $13.49 | $23.99 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $44.67 | Facility | TC · Technical part | $23.99 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $36.31 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $17.78 | Professional | 26 · Professional part | $13.80 | $14.45 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $22.39 | $25.12 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $51.29 | Professional | None (both parts) | $31.62 | $42.66 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $75.86 Median $194.98 Typical High $398.11 | Facility | None | $75.86 | $194.98 | $398.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $14.79 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $14.79 | $33.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $457.09 Typical High $660.69 | Facility | None | $56.23 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $39.81 | $43.65 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $16.98 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $23.99 | $26.30 | $43.65 |
Hally Health Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $112.20 | Professional | None | $37.15 | $51.29 | $112.20 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $52.48 | Professional | 26 · Professional part | $14.13 | $19.05 | $52.48 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $30.90 | $63.10 |
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 $46.77 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $46.77 | $46.77 | $51.29 |
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 $36.31 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $36.31 | $41.69 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $15.85 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $25.70 | $42.66 |
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 $18.20 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.94 | $7.94 |
Where Illinois sits
The same service costs 2.7 times more in Minnesota 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· 32nd of 51
$41.69
MN $83.18UT $30.90
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.