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 $154.88 Median $169.82 Typical High $380.19 | Facility | None | $154.88 | $169.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $125.89 | $144.54 | $144.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $1,584.89 | Facility | None | $251.19 | $338.84 | $1,584.89 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $29.51 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $29.51 | $165.96 | $257.04 |
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 $72.44 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $72.44 | $199.53 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $33.88 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $39.81 | $165.96 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $660.69 | Professional | None | $141.25 | $229.09 | $660.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $173.78 | Professional | 26 · Professional part | $26.30 | $38.02 | $173.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $194.98 | $478.63 |
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 $204.17 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $204.17 | $213.80 | $229.09 |
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 $114.82 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $114.82 | $165.96 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $34.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $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 $75.86 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $34.67 | $34.67 |
Where Illinois sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 29th of 51
$170
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.