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 $1,513.56 Median $2,238.72 Typical High $5,495.41 | Facility | None | $1,513.56 | $2,238.72 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,513.56 | $1,862.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $22,908.68 | Facility | None | $2,187.76 | $3,162.28 | $22,908.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $1,258.93 Typical High $1,412.54 | Professional | None | $3.47 | $1,258.93 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $7,943.28 | Facility | None | $2,041.74 | $4,265.80 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $2,511.89 Typical High $3,467.37 | Professional | None | $912.01 | $2,511.89 | $3,467.37 |
Hally Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $4,786.30 | Professional | None | $1,862.09 | $2,754.23 | $4,786.30 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,819.70 | $2,187.76 | $2,290.87 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,949.84 | Professional | None | $758.58 | $1,174.90 | $1,949.84 |
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 $741.31 Median $1,318.26 Typical High $2,754.23 | Facility | 52 · Reduced service | $741.31 | $1,318.26 | $2,754.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $524.81 Typical High $1,096.48 | Facility | 53 · Discontinued | $302.00 | $524.81 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 52 · Reduced service | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | 53 · Discontinued | $302.00 | $302.00 | $331.13 |
Where Illinois sits
The same service costs 4.3 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· 46th of 51
$1,413
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.