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 $47.86 Median $93.33 Typical High $177.83 | Facility | None | $47.86 | $93.33 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | None | $43.65 | $47.86 | $52.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $741.31 | Facility | None | $70.79 | $100.00 | $741.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $40.74 Typical High $44.67 | Professional | None | $3.47 | $40.74 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $245.47 | Facility | None | $52.48 | $120.23 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $79.43 Typical High $97.72 | Professional | None | $29.51 | $79.43 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $154.88 | Professional | None | $64.57 | $93.33 | $154.88 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $72.44 | Facility | None | $58.88 | $70.79 | $72.44 |
United Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $58.88 | Professional | None | $24.55 | $35.48 | $58.88 |
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 $23.99 Median $46.77 Typical High $89.13 | Facility | 52 · Reduced service | $23.99 | $46.77 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $18.62 Typical High $35.48 | Facility | 53 · Discontinued | $9.55 | $18.62 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.47 |
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· 47th of 51
$44.67
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.