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 $85.11 Median $1,096.48 Typical High $5,623.41 | Facility | None | $85.11 | $1,096.48 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $173.78 | Professional | None | $74.13 | $109.65 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $1,584.89 | Facility | None | $89.13 | $141.25 | $1,584.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $223.87 | Professional | None | $104.71 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $151.36 | Facility | None | $91.20 | $123.03 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $208.93 | Professional | None | $93.33 | $141.25 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $398.11 | Professional | None | $102.33 | $169.82 | $398.11 |
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 Typical Low $89.13 Median $104.71 Typical High $169.82 | Professional | None | $89.13 | $104.71 | $169.82 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $3,019.95 | Facility | None | $446.68 | $1,047.13 | $3,019.95 |
United Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $245.47 | Professional | None | $83.18 | $141.25 | $245.47 |
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 $37.15 Median $43.65 Typical High $60.26 | Professional | 52 · Reduced service | $37.15 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.78 Typical High $23.99 | Professional | 53 · Discontinued | $14.79 | $17.78 | $23.99 |
Where Illinois sits
The same service costs 2.8 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· 17th of 51
$141
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.