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 $104.71 Median $177.83 Typical High $363.08 | Facility | None | $104.71 | $177.83 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $123.03 | Professional | None | $89.13 | $100.00 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $1,548.82 | Facility | None | $144.54 | $213.80 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $83.18 Typical High $93.33 | Professional | None | $3.47 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $524.81 | Facility | None | $134.90 | $281.84 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $165.96 Typical High $229.09 | Professional | None | $61.66 | $165.96 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $512.86 | Professional | None | $134.90 | $190.55 | $512.86 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $151.36 | Facility | None | $123.03 | $144.54 | $151.36 |
United Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $131.83 | Professional | None | $51.29 | $79.43 | $131.83 |
5 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 $50.12 Median $89.13 Typical High $181.97 | Facility | 52 · Reduced service | $50.12 | $89.13 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $35.48 Typical High $74.13 | Facility | 53 · Discontinued | $19.95 | $35.48 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 90 · Outside lab | $165.96 | $165.96 | $165.96 |
Where Illinois sits
The same service costs 4.4 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· 49th of 51
$93.33
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.