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 $380.19 Median $602.56 Typical High $794.33 | Facility | None | $380.19 | $602.56 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $97.72 | Facility | 26 · Professional part | $47.86 | $74.13 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $691.83 | Facility | TC · Technical part | $338.84 | $512.86 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $371.54 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $57.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $316.23 | $398.11 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $446.68 | $446.68 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $53.70 | $83.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $234.42 Median $549.54 Typical High $4,466.84 | Facility | None | $234.42 | $549.54 | $4,466.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $61.66 Median $213.80 Typical High $707.95 | Professional | None (both parts) | $61.66 | $213.80 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $851.14 | Facility | None | $398.11 | $660.69 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $562.34 Typical High $741.31 | Professional | None (both parts) | $223.87 | $562.34 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $72.44 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $489.78 Typical High $660.69 | Professional | TC · Technical part | $158.49 | $489.78 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $977.24 | Professional | None | $346.74 | $575.44 | $977.24 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $77.62 | $173.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $489.78 | $794.33 |
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 $501.19 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $501.19 | $524.81 | $588.84 |
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 $275.42 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $275.42 | $436.52 | $851.14 |
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 $213.80 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $213.80 | $389.05 | $741.31 |
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 $204.17 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $91.20 | $91.20 |
Where Illinois sits
The same service costs 3.0 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· 31st of 51
$457
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.