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 $107.15 Median $114.82 Typical High $208.93 | Facility | None | $107.15 | $114.82 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $22.91 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $1,096.48 Typical High $1,778.28 | Facility | None | $251.19 | $1,096.48 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,348.96 | $1,995.26 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $104.71 | $128.82 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $407.38 | Professional | None | $102.33 | $151.36 | $407.38 |
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 $128.82 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $128.82 | $131.83 | $141.25 |
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 $100.00 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $100.00 | $134.90 | $234.42 |
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 TC · Technical part Typical Low $93.33 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $102.33 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $120.23 | $199.53 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 35th of 51
$115
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.