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 $107.15 Median $204.17 Typical High $389.05 | Facility | None | $107.15 | $204.17 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $128.82 | Professional | None | $100.00 | $107.15 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $1,202.26 | Facility | None | $151.36 | $199.53 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | None | $89.13 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $537.03 | Facility | None | $144.54 | $263.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $147.91 Typical High $190.55 | Professional | None | $51.29 | $147.91 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $398.11 | Professional | None | $128.82 | $181.97 | $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 $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None | $70.79 | $70.79 | $162.18 |
United Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $162.18 | Facility | None | $128.82 | $154.88 | $162.18 |
United Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $138.04 | Professional | None | $47.86 | $66.07 | $138.04 |
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 $52.48 Median $93.33 Typical High $194.98 | Facility | 52 · Reduced service | $52.48 | $93.33 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $37.15 Typical High $77.62 | Facility | 53 · Discontinued | $21.38 | $37.15 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.38 | $25.70 |
Where Illinois sits
The same service costs 6.0 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
$107
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.