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 $478.63 Median $812.83 Typical High $1,659.59 | Facility | None | $478.63 | $812.83 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | None | $457.09 | $457.09 | $707.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $660.69 Median $977.24 Typical High $9,120.11 | Facility | None | $660.69 | $977.24 | $9,120.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $524.81 Typical High $562.34 | Professional | None | $3.47 | $524.81 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,148.15 Typical High $2,290.87 | Facility | None | $295.12 | $1,148.15 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $758.58 Typical High $933.25 | Professional | None | $281.84 | $758.58 | $933.25 |
Hally Health Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,288.25 | Professional | None | $562.34 | $831.76 | $1,288.25 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $691.83 | Facility | None | $562.34 | $660.69 | $691.83 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $562.34 | Professional | None | $234.42 | $331.13 | $562.34 |
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 $229.09 Median $446.68 Typical High $851.14 | Facility | 52 · Reduced service | $229.09 | $446.68 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $177.83 Typical High $338.84 | Facility | 53 · Discontinued | $91.20 | $177.83 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | 52 · Reduced service | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 53 · Discontinued | $91.20 | $91.20 | $100.00 |
Where Illinois sits
The same service costs 4.6 times more in Kansas than in Oklahoma. 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· 28th of 51
$562
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.