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 $131.83 Median $251.19 Typical High $489.78 | Facility | None | $131.83 | $251.19 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | None | $128.82 | $131.83 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $1,513.56 | Facility | None | $144.54 | $218.78 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $112.20 Typical High $125.89 | Professional | None | $3.47 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $676.08 | Facility | None | $162.18 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $165.96 Typical High $234.42 | Professional | None | $46.77 | $165.96 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $281.84 | Professional | None | $114.82 | $177.83 | $281.84 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $204.17 | Professional | None | $89.13 | $89.13 | $204.17 |
United Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $204.17 | Facility | None | $162.18 | $194.98 | $204.17 |
United Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $169.82 | Professional | None | $44.67 | $67.61 | $169.82 |
4 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 Facility Modifier 52 · Reduced service Typical Low $66.07 Median $117.49 Typical High $245.47 | Facility | 52 · Reduced service | $66.07 | $117.49 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $46.77 Typical High $97.72 | Facility | 53 · Discontinued | $26.30 | $46.77 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $26.30 | $32.36 |
Where Illinois sits
The same service costs 7.6 times more in Alaska than in Alabama. 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· 26th of 51
$126
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.