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 $741.31 Median $1,412.54 Typical High $2,754.23 | Facility | None | $741.31 | $1,412.54 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $812.83 | Professional | None | $707.95 | $741.31 | $812.83 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $11,220.18 | Facility | None | $1,071.52 | $1,584.89 | $11,220.18 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $616.60 Typical High $691.83 | Professional | None | $3.47 | $616.60 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,862.09 Typical High $3,715.35 | Facility | None | $602.56 | $1,862.09 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $1,230.27 Typical High $1,479.11 | Professional | None | $436.52 | $1,230.27 | $1,479.11 |
Hally Health Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $2,398.83 | Professional | None | $912.01 | $1,348.96 | $2,398.83 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,122.02 | Facility | None | $891.25 | $1,071.52 | $1,122.02 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $891.25 | Professional | None | $380.19 | $537.03 | $891.25 |
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 $371.54 Median $707.95 Typical High $1,348.96 | Facility | 52 · Reduced service | $371.54 | $707.95 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $281.84 Typical High $549.54 | Facility | 53 · Discontinued | $147.91 | $281.84 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $363.08 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $144.54 | $147.91 | $162.18 |
Where Illinois sits
The same service costs 5.1 times more in Texas 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· 38th of 51
$692
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.