How much rates vary
Facilitymedian $219 · 10th to 90th $162 to $501Professionalmedian $91 · 10th to 90th $48 to $141
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 $83.18 Median $91.20 Typical High $204.17 | Facility | None | $83.18 | $91.20 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $81.28 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $46.77 | Professional | TC · Technical part | $39.81 | $44.67 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $70.79 | $77.62 | $93.33 |
BCBS Illinois Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $588.84 | Facility | None | $165.96 | $218.78 | $588.84 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $47.86 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $47.86 | $81.28 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $223.87 Typical High $398.11 | Facility | None | $93.33 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $66.07 | $109.65 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $56.23 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $16.60 | $53.70 | $72.44 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $223.87 | Professional | None | $79.43 | $117.49 | $223.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $158.49 | Professional | 26 · Professional part | $42.66 | $60.26 | $158.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $53.70 | $85.11 |
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 $102.33 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $102.33 | $104.71 | $112.20 |
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 $302.00 Median $302.00 Typical High $346.74 | Facility | None | $302.00 | $302.00 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $75.86 | $97.72 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $54.95 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $31.62 | $44.67 | $81.28 |
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 $40.74 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $18.20 | $18.20 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 25th of 51
$91.20
AK $219AL $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.