How much rates vary
Facilitymedian $468 · 10th to 90th $87 to $955Professionalmedian $89 · 10th to 90th $43 to $138
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $79.43 Median $87.10 Typical High $199.53 | Facility | None | $79.43 | $87.10 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $79.43 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $47.86 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $67.61 | $67.61 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $1,071.52 | Facility | None | $251.19 | $537.03 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $39.81 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $39.81 | $87.10 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $147.91 | Facility | None | $69.18 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $83.18 | $107.15 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $46.77 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $44.67 | $58.88 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $281.84 | Professional | None | $77.62 | $112.20 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $154.88 | Professional | 26 · Professional part | $35.48 | $48.98 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $41.69 | $60.26 | $114.82 |
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 $89.13 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $89.13 | $97.72 | $104.71 |
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 Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $77.62 | $104.71 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $56.23 | $95.50 |
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 $39.81 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $17.38 | $17.38 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in Texas. 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
$89.13
AK $204TX $67.61
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.