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 $141.25 Median $208.93 Typical High $524.81 | Facility | None | $141.25 | $208.93 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $154.88 | Professional | None | $109.65 | $141.25 | $154.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $2,187.76 | Facility | None | $208.93 | $295.12 | $2,187.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $120.23 Typical High $131.83 | Professional | None | $3.47 | $120.23 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $724.44 | Facility | None | $194.98 | $371.54 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $229.09 Typical High $288.40 | Professional | None | $87.10 | $229.09 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $389.05 | Professional | None | $177.83 | $257.04 | $389.05 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $213.80 | Facility | None | $173.78 | $208.93 | $213.80 |
United Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $186.21 | Professional | None | $72.44 | $112.20 | $186.21 |
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 $70.79 Median $125.89 Typical High $263.03 | Facility | 52 · Reduced service | $70.79 | $125.89 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $50.12 Typical High $104.71 | Facility | 53 · Discontinued | $28.18 | $50.12 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Where Illinois sits
The same service costs 3.4 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· 47th of 51
$132
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.