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 $83.18 Median $162.18 Typical High $309.03 | Facility | None | $83.18 | $162.18 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $123.03 | Professional | None | $75.86 | $83.18 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $1,288.25 | Facility | None | $123.03 | $177.83 | $1,288.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $70.79 Typical High $79.43 | Professional | None | $3.47 | $70.79 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $426.58 | Facility | None | $120.23 | $234.42 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $141.25 Typical High $169.82 | Professional | None | $51.29 | $141.25 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $426.58 | Professional | None | $112.20 | $158.49 | $426.58 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $128.82 | Facility | None | $102.33 | $123.03 | $128.82 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $102.33 | Professional | None | $42.66 | $61.66 | $102.33 |
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 $41.69 Median $81.28 Typical High $154.88 | Facility | 52 · Reduced service | $41.69 | $81.28 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $32.36 Typical High $61.66 | Facility | 53 · Discontinued | $16.60 | $32.36 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.62 |
Where Illinois sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 48th of 51
$79.43
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.