How much rates vary
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 $398.11 Median $588.84 Typical High $676.08 | Facility | None | $398.11 | $588.84 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $389.05 | $446.68 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $87.10 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $295.12 | $354.81 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $426.58 | $426.58 | $562.34 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $870.96 Typical High $4,677.35 | Facility | None | $309.03 | $870.96 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $95.50 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $95.50 | $331.13 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $741.31 | Facility | None | $398.11 | $660.69 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $309.03 | $562.34 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $112.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $457.09 Typical High $616.60 | Professional | TC · Technical part | $208.93 | $457.09 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $870.96 | Professional | None | $363.08 | $575.44 | $870.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $275.42 | Professional | 26 · Professional part | $83.18 | $117.49 | $275.42 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $446.68 | $616.60 |
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 $512.86 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $512.86 | $537.03 | $575.44 |
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 $346.74 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $346.74 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $109.65 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $363.08 | $645.65 |
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 $199.53 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $89.13 | $89.13 |
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· 30th of 51
$447
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.