How much rates vary
Facilitymedian $309 · 10th to 90th $115 to $741Professionalmedian $123 · 10th to 90th $72 to $186
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 $147.91 Typical High $263.03 | Facility | None | $93.33 | $147.91 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $104.71 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $66.07 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $42.66 | $47.86 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $134.90 | $154.88 | $229.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $891.25 | Facility | None | $275.42 | $309.03 | $891.25 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $72.44 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $457.09 Typical High $660.69 | Facility | None | $123.03 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $117.49 | $147.91 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $85.11 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $63.10 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $389.05 | Professional | None | $104.71 | $151.36 | $389.05 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $257.04 | Professional | 26 · Professional part | $61.66 | $91.20 | $257.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $154.88 | Professional | TC · Technical part | $42.66 | $60.26 | $154.88 |
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 $131.83 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $131.83 | $134.90 | $144.54 |
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 $112.20 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $112.20 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $67.61 | $112.20 |
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 $52.48 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $22.91 | $22.91 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$126
AK $275UT $72.44
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.