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 $141.25 Median $234.42 Typical High $489.78 | Facility | None | $141.25 | $234.42 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $162.18 | Professional | None | $102.33 | $134.90 | $162.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $2,089.30 | Facility | None | $194.98 | $288.40 | $2,089.30 |
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 $186.21 Median $380.19 Typical High $707.95 | Facility | None | $186.21 | $380.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $223.87 Typical High $295.12 | Professional | None | $83.18 | $223.87 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $436.52 | Professional | None | $165.96 | $245.47 | $436.52 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $69.18 Median $107.15 Typical High $177.83 | Professional | None | $69.18 | $107.15 | $177.83 |
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 $67.61 Median $120.23 Typical High $245.47 | Facility | 52 · Reduced service | $67.61 | $120.23 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $47.86 Typical High $100.00 | Facility | 53 · Discontinued | $26.92 | $47.86 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.92 | $29.51 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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
$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.