How much rates vary
Facilitymedian $575 · 10th to 90th $275 to $2,951Professionalmedian $355 · 10th to 90th $63 to $562
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 $331.13 Median $616.60 Typical High $630.96 | Facility | None | $331.13 | $616.60 | $630.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $100.00 | Facility | 26 · Professional part | $53.70 | $97.72 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $512.86 Typical High $524.81 | Facility | TC · Technical part | $281.84 | $512.86 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $323.59 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $57.54 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $338.84 | $354.81 | $354.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $575.44 Typical High $3,311.31 | Facility | None | $275.42 | $575.44 | $3,311.31 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $63.10 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $63.10 | $218.78 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $660.69 | Facility | None | $398.11 | $616.60 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $239.88 | $446.68 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $74.13 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $380.19 | $512.86 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $741.31 | Professional | None | $288.40 | $446.68 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $77.62 | $165.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $234.42 | $371.54 | $562.34 |
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 $407.38 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $407.38 | $416.87 | $446.68 |
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 $281.84 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $281.84 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $323.59 | $562.34 |
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 $158.49 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $70.79 | $70.79 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$355
AK $776NM $240
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.