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 $239.88 Median $457.09 Typical High $891.25 | Facility | None | $239.88 | $457.09 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $263.03 | Professional | None | $229.09 | $239.88 | $263.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $3,715.35 | Facility | None | $354.81 | $512.86 | $3,715.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $204.17 Typical High $229.09 | Professional | None | $3.47 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $1,258.93 | Facility | None | $331.13 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $398.11 Typical High $524.81 | Professional | None | $147.91 | $398.11 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $794.33 | Professional | None | $295.12 | $446.68 | $794.33 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $371.54 | Facility | None | $295.12 | $354.81 | $371.54 |
United Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $316.23 | Professional | None | $123.03 | $190.55 | $316.23 |
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 $120.23 Median $213.80 Typical High $446.68 | Facility | 52 · Reduced service | $120.23 | $213.80 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $85.11 Typical High $177.83 | Facility | 53 · Discontinued | $47.86 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $47.86 | $47.86 | $52.48 |
Where Illinois sits
The same service costs 3.8 times more in Alaska 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· 46th of 51
$229
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.