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 $134.90 Median $257.04 Typical High $501.19 | Facility | None | $134.90 | $257.04 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $147.91 | Professional | None | $91.20 | $134.90 | $147.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $2,089.30 | Facility | None | $199.53 | $288.40 | $2,089.30 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $114.82 Typical High $128.82 | Professional | None | $3.47 | $114.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $691.83 | Facility | None | $186.21 | $346.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $275.42 | Professional | None | $83.18 | $204.17 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $371.54 | Professional | None | $169.82 | $239.88 | $371.54 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $208.93 | Facility | None | $165.96 | $199.53 | $208.93 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $165.96 | Professional | None | $69.18 | $100.00 | $165.96 |
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 $67.61 Median $120.23 Typical High $251.19 | Facility | 52 · Reduced service | $67.61 | $120.23 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $47.86 Typical High $100.00 | Facility | 53 · Discontinued | $26.92 | $47.86 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.92 | $29.51 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 41st of 51
$129
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.