How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,023 to $7,079Professionalmedian $1,202 · 10th to 90th $871 to $1,862
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 $758.58 Median $2,137.96 Typical High $7,762.47 | Facility | None | $758.58 | $2,137.96 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,445.44 | Professional | None | $724.44 | $954.99 | $1,445.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $12,589.25 | Facility | None | $2,630.27 | $4,073.80 | $12,589.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,412.54 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $3,090.30 Typical High $3,890.45 | Facility | None | $776.25 | $3,090.30 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,148.15 | $1,778.28 |
Hally Health Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $3,090.30 | Professional | None | $912.01 | $1,479.11 | $3,090.30 |
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 $1,047.13 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,454.71 | $7,585.78 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,995.26 | Professional | None | $870.96 | $1,174.90 | $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 $501.19 | Professional | 52 · Reduced service | $354.81 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $194.98 Typical High $199.53 | Professional | 53 · Discontinued | $141.25 | $194.98 | $199.53 |
Where Illinois sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.