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 $56.23 Median $95.50 Typical High $194.98 | Facility | None | $56.23 | $95.50 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $81.28 | Professional | None | $44.67 | $53.70 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $831.76 | Facility | None | $79.43 | $112.20 | $831.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $45.71 Typical High $50.12 | Professional | None | $3.47 | $45.71 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $275.42 | Facility | None | $74.13 | $138.04 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $81.28 Typical High $109.65 | Professional | None | $33.11 | $81.28 | $109.65 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $223.87 | Professional | None | $72.44 | $102.33 | $223.87 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $81.28 | Facility | None | $66.07 | $79.43 | $81.28 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | None | $27.54 | $39.81 | $67.61 |
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 $26.92 Median $47.86 Typical High $100.00 | Facility | 52 · Reduced service | $26.92 | $47.86 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $19.05 Typical High $39.81 | Facility | 53 · Discontinued | $10.72 | $19.05 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $26.30 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $11.75 | Professional | 53 · Discontinued | $10.47 | $10.72 | $11.75 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 46th of 51
$50.12
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.