How much rates vary
Facilitymedian $1,349 · 10th to 90th $501 to $12,303Professionalmedian $1,259 · 10th to 90th $871 to $1,820
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 $707.95 Median $954.99 Typical High $2,951.21 | Facility | None | $707.95 | $954.99 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,479.11 | Professional | None | $741.31 | $954.99 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,258.93 | $1,288.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $6,456.54 Median $13,803.84 Typical High $27,542.29 | Facility | None | $6,456.54 | $13,803.84 | $27,542.29 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,737.80 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $2,511.89 | Facility | None | $512.86 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,148.15 | $1,819.70 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $2,630.27 | Professional | None | $851.14 | $1,479.11 | $2,630.27 |
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 $1,000.00 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,202.26 | $1,348.96 |
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 $489.78 Median $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,995.26 | Professional | None | $870.96 | $1,202.26 | $1,995.26 |
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 $354.81 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $190.55 Typical High $204.17 | Professional | 53 · Discontinued | $141.25 | $190.55 | $204.17 |
Where Illinois sits
The same service costs 10.3 times more in Maine than in Arkansas. 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.