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 $489.78 Median $954.99 Typical High $1,819.70 | Facility | None | $489.78 | $954.99 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | None | $489.78 | $489.78 | $537.03 |
BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $7,585.78 | Facility | None | $724.44 | $1,047.13 | $7,585.78 |
BCBS Setting Professional Modifier None Typical Low $3.47 Median $416.87 Typical High $457.09 | Professional | None | $3.47 | $416.87 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,445.44 Typical High $2,570.40 | Facility | None | $676.08 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $707.95 Typical High $1,000.00 | Professional | None | $275.42 | $707.95 | $1,000.00 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,258.93 | Professional | None | $602.56 | $831.76 | $1,258.93 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $758.58 | Facility | None | $602.56 | $724.44 | $758.58 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $602.56 | Professional | None | $251.19 | $363.08 | $602.56 |
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 $245.47 Median $467.74 Typical High $912.01 | Facility | 52 · Reduced service | $245.47 | $467.74 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $186.21 Typical High $363.08 | Facility | 53 · Discontinued | $97.72 | $186.21 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $97.72 | $97.72 | $107.15 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 44th of 51
$457
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.