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 $79.43 Median $134.90 Typical High $275.42 | Facility | None | $79.43 | $134.90 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $89.13 | Professional | None | $61.66 | $75.86 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $1,148.15 | Facility | None | $109.65 | $162.18 | $1,148.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $63.10 Typical High $70.79 | Professional | None | $3.47 | $63.10 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $398.11 | Facility | None | $102.33 | $213.80 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $162.18 | Professional | None | $45.71 | $125.89 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $524.81 | Professional | None | $100.00 | $141.25 | $524.81 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
United Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $114.82 | Facility | None | $91.20 | $109.65 | $114.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $97.72 | Professional | None | $38.90 | $60.26 | $97.72 |
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 $37.15 Median $66.07 Typical High $138.04 | Facility | 52 · Reduced service | $37.15 | $66.07 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $26.30 Typical High $54.95 | Facility | 53 · Discontinued | $15.14 | $26.30 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $15.14 | $16.60 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 45th of 51
$70.79
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.