How much rates vary
Facilitymedian $537 · 10th to 90th $398 to $891Professionalmedian $324 · 10th to 90th $257 to $513
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 $295.12 Median $323.59 Typical High $758.58 | Facility | None | $295.12 | $323.59 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $295.12 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $194.98 | $194.98 |
BCBS Illinois Setting Facility Modifier None Typical Low $478.63 Median $537.03 Typical High $645.65 | Facility | None | $478.63 | $537.03 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $1,148.15 | Facility | None | $398.11 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $323.59 | $467.74 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $190.55 Typical High $208.93 | Professional | 26 · Professional part | $123.03 | $190.55 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $186.21 | $275.42 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $302.00 | Professional | None | $218.78 | $257.04 | $302.00 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $134.90 | $181.97 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $123.03 | $165.96 |
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 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $275.42 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $275.42 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $120.23 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $165.96 | $194.98 | $331.13 |
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 $147.91 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $58.88 | $64.57 | $64.57 |
Where Illinois sits
The same service costs 9.8 times more in Alaska than in New York. 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
$324
AK $631NY $64.57
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.