How much rates vary
Facilitymedian $214 · 10th to 90th $79 to $891Professionalmedian $81 · 10th to 90th $34 to $115
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 $72.44 Median $79.43 Typical High $151.36 | Facility | None | $72.44 | $79.43 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $81.28 | Professional | None (both parts) | $70.79 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $22.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $48.98 | $56.23 | $56.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $223.87 Typical High $1,047.13 | Facility | None | $85.11 | $223.87 | $1,047.13 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $21.88 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $21.88 | $63.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $181.97 | Facility | None | $83.18 | $89.13 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $72.44 | $87.10 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $27.54 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $60.26 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $251.19 | Professional | None | $63.10 | $89.13 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $97.72 | Professional | 26 · Professional part | $20.89 | $28.18 | $97.72 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $134.90 | Professional | TC · Technical part | $41.69 | $57.54 | $134.90 |
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 $77.62 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $77.62 | $79.43 | $85.11 |
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 $141.25 Median $141.25 Typical High $158.49 | Facility | None | $141.25 | $141.25 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $70.79 | $87.10 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $26.30 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $58.88 | $95.50 |
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 $35.48 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $35.48 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.13 | $15.85 | $15.85 |
Where Illinois sits
The same service costs 4.9 times more in Nebraska 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· 26th of 51
$81.28
NE $155UT $31.62
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.