How much rates vary
Facilitymedian $186 · 10th to 90th $129 to $724Professionalmedian $110 · 10th to 90th $37 to $158
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 $109.65 Median $173.78 Typical High $173.78 | Facility | None | $109.65 | $173.78 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $58.88 | Facility | 26 · Professional part | $35.48 | $57.54 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $117.49 | Facility | TC · Technical part | $74.13 | $114.82 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $79.43 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $35.48 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $74.13 | $75.86 |
BCBS Illinois Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $812.83 | Facility | None | $131.83 | $194.98 | $812.83 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $37.15 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $37.15 | $95.50 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $398.11 | Facility | None | $134.90 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $51.29 | $125.89 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $43.65 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $15.14 | $81.28 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $309.03 | Professional | None | $83.18 | $131.83 | $309.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $151.36 | Professional | 26 · Professional part | $33.11 | $46.77 | $151.36 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $34.67 | $83.18 | $154.88 |
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 $120.23 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $120.23 | $123.03 | $131.83 |
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 $64.57 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $64.57 | $95.50 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $26.92 | $60.26 | $117.49 |
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 $46.77 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $21.88 | $21.88 |
Where Illinois sits
The same service costs 3.5 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· 26th of 51
$110
AK $229KY $64.57
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.