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 $144.54 Median $162.18 Typical High $302.00 | Facility | None | $144.54 | $162.18 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $27.54 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $131.83 | $131.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $1,479.11 | Facility | None | $234.42 | $338.84 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $28.18 Median $97.72 Typical High $199.53 | Professional | None (both parts) | $28.18 | $97.72 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $660.69 | Facility | None | $245.47 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $70.79 | $169.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $33.11 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $39.81 | $134.90 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $467.74 | Professional | None | $117.49 | $181.97 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $128.82 | Professional | 26 · Professional part | $25.70 | $37.15 | $128.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $91.20 | $147.91 | $331.13 |
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 $165.96 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $165.96 | $169.82 | $181.97 |
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 $165.96 Typical High $275.42 | Professional | None (both parts) | $112.20 | $165.96 | $275.42 |
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 $89.13 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $138.04 | $218.78 |
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 $70.79 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $32.36 | $32.36 |
Where Illinois sits
The same service costs 3.2 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· 33rd of 51
$158
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.