How much rates vary
Facilitymedian $537 · 10th to 90th $219 to $1,000Professionalmedian $105 · 10th to 90th $52 to $245
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 $93.33 Median $104.71 Typical High $223.87 | Facility | None | $93.33 | $104.71 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $54.95 | $63.10 | $63.10 |
BCBS Illinois Setting Facility Modifier None Typical Low $229.09 Median $537.03 Typical High $812.83 | Facility | None | $229.09 | $537.03 | $812.83 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $41.69 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $41.69 | $95.50 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $776.25 Typical High $1,148.15 | Facility | None | $147.91 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $100.00 | $120.23 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $48.98 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $74.13 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $331.13 | Professional | None | $93.33 | $147.91 | $331.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $169.82 | Professional | 26 · Professional part | $37.15 | $52.48 | $169.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $100.00 | $169.82 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None (both parts) | $33.11 | $33.11 | $52.48 |
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 $81.28 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $81.28 | $239.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $30.20 | $199.53 | $371.54 |
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 $45.71 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $20.89 | $20.89 |
Where Illinois sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$105
HI $309KY $57.54
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.