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 $1,288.25 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,288.25 | $2,754.23 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,071.52 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,511.89 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,511.89 |
Hally Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,659.59 | $2,691.53 | $4,168.69 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $89.13 | $123.03 | $199.53 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,905.46 Median $2,630.27 Typical High $4,466.84 | Professional | TC · Technical part | $1,905.46 | $2,630.27 | $4,466.84 |
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 $2,398.83 Median $2,454.71 Typical High $2,691.53 | Professional | None (both parts) | $2,398.83 | $2,454.71 | $2,691.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $34.67 | $39.81 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
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 $630.96 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $630.96 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $251.19 | $257.04 | $257.04 |
Where Illinois sits
The same service costs 56.2 times more in Nebraska than in Montana. 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· 19th of 51
$1,318
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.