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 $346.74 Median $512.86 Typical High $660.69 | Facility | None | $346.74 | $512.86 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $77.62 | Facility | 26 · Professional part | $43.65 | $61.66 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $457.09 Typical High $575.44 | Facility | TC · Technical part | $309.03 | $457.09 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $331.13 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | TC · Technical part | $281.84 | $331.13 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $6,025.60 | Facility | None | $1,096.48 | $1,348.96 | $6,025.60 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $48.98 Median $169.82 Typical High $588.84 | Professional | None (both parts) | $48.98 | $169.82 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $2,630.27 | Facility | None | $691.83 | $776.25 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $346.74 | $467.74 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $57.54 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $295.12 | $416.87 | $562.34 |
Hally Health Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $4,786.30 | Professional | None | $331.13 | $501.19 | $4,786.30 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $831.76 | Professional | 26 · Professional part | $42.66 | $61.66 | $831.76 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $3,467.37 | Professional | TC · Technical part | $302.00 | $436.52 | $3,467.37 |
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 $436.52 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $436.52 | $446.68 | $478.63 |
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 $2,041.74 Median $2,041.74 Typical High $2,290.87 | Facility | None | $2,041.74 | $2,041.74 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $302.00 | $416.87 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $57.54 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $257.04 | $363.08 | $616.60 |
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 $169.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $75.86 | $75.86 |
Where Illinois sits
The same service costs 3.0 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
$372
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.