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 $125.89 Median $181.97 Typical High $234.42 | Facility | None | $125.89 | $181.97 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $134.90 | Facility | 26 · Professional part | $74.13 | $107.15 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $100.00 | Facility | TC · Technical part | $51.29 | $75.86 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $128.82 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $79.43 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $57.54 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $128.82 | $194.98 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $100.00 | $109.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $1,071.52 | Facility | None | $275.42 | $323.59 | $1,071.52 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $87.10 | $128.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $457.09 Typical High $660.69 | Facility | None | $147.91 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $141.25 | $177.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $102.33 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $77.62 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $562.34 | Professional | None | $123.03 | $181.97 | $562.34 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $74.13 | $104.71 | $269.15 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $208.93 | Professional | TC · Technical part | $51.29 | $72.44 | $208.93 |
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 $158.49 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $158.49 | $162.18 | $173.78 |
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 $134.90 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $134.90 | $181.97 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $102.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $81.28 | $134.90 |
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 $63.10 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $27.54 | $27.54 |
Where Illinois sits
The same service costs 4.0 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· 35th of 51
$148
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.