How much rates vary
Facilitymedian $65 · 10th to 90th $47 to $166Professionalmedian $19 · 10th to 90th $18 to $34
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 $18.20 Median $18.20 Typical High $18.62 | Facility | None | $18.20 | $18.20 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.62 Typical High $27.54 | Professional | None (both parts) | $18.20 | $18.62 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $11.22 | Professional | 26 · Professional part | $8.13 | $8.51 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.00 Typical High $15.85 | Professional | TC · Technical part | $9.55 | $10.00 | $15.85 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $181.97 | Facility | None | $47.86 | $63.10 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | None (both parts) | $17.78 | $17.78 | $19.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Hally Health Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $83.18 | Professional | None | $18.20 | $24.55 | $83.18 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $79.43 | Professional | 26 · Professional part | $7.41 | $9.77 | $79.43 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $14.45 Typical High $79.43 | Professional | TC · Technical part | $10.96 | $14.45 | $79.43 |
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 $26.30 Median $26.30 Typical High $29.51 | Professional | None (both parts) | $26.30 | $26.30 | $29.51 |
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 $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.39 Typical High $38.02 | Professional | None (both parts) | $17.38 | $22.39 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.76 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $12.30 Typical High $20.89 | Professional | TC · Technical part | $9.55 | $12.30 | $20.89 |
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 $9.12 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.12 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.63 | $3.72 | $3.72 |
Where Illinois sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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
$19.95
WI $39.81NC $17.38
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.