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 $309.03 Median $588.84 Typical High $1,148.15 | Facility | None | $309.03 | $588.84 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $338.84 | Professional | None | $302.00 | $309.03 | $338.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $4,677.35 | Facility | None | $446.68 | $645.65 | $4,677.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $257.04 Typical High $288.40 | Professional | None | $3.47 | $257.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $776.25 Typical High $1,548.82 | Facility | None | $144.54 | $776.25 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $426.58 Typical High $616.60 | Professional | None | $104.71 | $426.58 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $691.83 | Professional | None | $371.54 | $524.81 | $691.83 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $467.74 | Facility | None | $371.54 | $446.68 | $467.74 |
United Setting Professional Modifier None Typical Low $51.29 Median $158.49 Typical High $323.59 | Professional | None | $51.29 | $158.49 | $323.59 |
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 $154.88 Median $269.15 Typical High $562.34 | Facility | 52 · Reduced service | $154.88 | $269.15 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $109.65 Typical High $229.09 | Facility | 53 · Discontinued | $61.66 | $109.65 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $61.66 | $67.61 |
Where Illinois sits
The same service costs 10.2 times more in Texas than in North Carolina. 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· 29th of 51
$288
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.