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 $144.54 Median $275.42 Typical High $524.81 | Facility | None | $144.54 | $275.42 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $158.49 | Professional | None | $107.15 | $144.54 | $158.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $2,187.76 | Facility | None | $208.93 | $302.00 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $120.23 Typical High $134.90 | Professional | None | $3.47 | $120.23 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $724.44 | Facility | None | $194.98 | $363.08 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $213.80 Typical High $288.40 | Professional | None | $87.10 | $213.80 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $467.74 | Professional | None | $177.83 | $263.03 | $467.74 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $218.78 | Facility | None | $173.78 | $208.93 | $218.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $173.78 | Professional | None | $74.13 | $104.71 | $173.78 |
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 $72.44 Median $125.89 Typical High $263.03 | Facility | 52 · Reduced service | $72.44 | $125.89 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $51.29 Typical High $104.71 | Facility | 53 · Discontinued | $28.84 | $51.29 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $28.84 | $31.62 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 43rd of 51
$135
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.