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 $46.77 Median $69.18 Typical High $169.82 | Facility | None | $46.77 | $69.18 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $54.95 | Professional | None | $42.66 | $46.77 | $54.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $724.44 | Facility | None | $69.18 | $100.00 | $724.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $39.81 Typical High $43.65 | Professional | None | $3.47 | $39.81 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $234.42 | Facility | None | $64.57 | $125.89 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $77.62 Typical High $95.50 | Professional | None | $28.84 | $77.62 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $457.09 | Professional | None | $63.10 | $91.20 | $457.09 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $70.79 | Facility | None | $57.54 | $69.18 | $70.79 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $57.54 | Professional | None | $23.99 | $33.88 | $57.54 |
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 $23.44 Median $45.71 Typical High $87.10 | Facility | 52 · Reduced service | $23.44 | $45.71 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $18.20 Typical High $34.67 | Facility | 53 · Discontinued | $9.33 | $18.20 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $23.44 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.23 |
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· 49th of 51
$43.65
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.