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 $891.25 Median $1,230.27 Typical High $3,801.89 | Facility | None | $891.25 | $1,230.27 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,862.09 | Professional | None | $912.01 | $1,230.27 | $1,862.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $7,585.78 Median $16,218.10 Typical High $32,359.37 | Facility | None | $7,585.78 | $16,218.10 | $32,359.37 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,819.70 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $2,511.89 | Facility | None | $512.86 | $776.25 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,412.54 | $2,290.87 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,905.46 | $3,388.44 |
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 $1,288.25 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,548.82 | $1,778.28 |
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 $1,174.90 Typical High $6,606.93 | Facility | None | $489.78 | $1,174.90 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,412.54 | $2,511.89 |
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 $446.68 Median $616.60 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $245.47 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $245.47 | $257.04 |
Where Illinois sits
The same service costs 3.5 times more in Alaska 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.
Illinois· 21st of 51
$1,514
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.