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 $165.96 Median $186.21 Typical High $338.84 | Facility | None | $165.96 | $186.21 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $158.49 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $26.30 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $154.88 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $1,737.80 | Facility | None | $151.36 | $309.03 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $30.20 Median $104.71 Typical High $234.42 | Professional | None (both parts) | $30.20 | $104.71 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $660.69 | Facility | None | $257.04 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $70.79 | $190.55 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $35.48 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $154.88 Typical High $194.98 | Professional | TC · Technical part | $39.81 | $154.88 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $478.63 | Professional | None | $125.89 | $199.53 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $123.03 | Professional | 26 · Professional part | $26.30 | $38.90 | $123.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $100.00 | $165.96 | $346.74 |
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 $169.82 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $169.82 | $177.83 | $199.53 |
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 $120.23 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $120.23 | $169.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $34.67 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $141.25 | $229.09 |
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 $77.62 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $37.15 | $37.15 |
Where Illinois sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 28th of 51
$178
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.