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 $102.33 Median $194.98 Typical High $380.19 | Facility | None | $102.33 | $194.98 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $112.20 | Professional | None | $77.62 | $102.33 | $112.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $1,584.89 | Facility | None | $151.36 | $218.78 | $1,584.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $87.10 Typical High $95.50 | Professional | None | $3.47 | $87.10 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $524.81 | Facility | None | $141.25 | $257.04 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $141.25 Typical High $208.93 | Professional | None | $57.54 | $141.25 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $398.11 | Professional | None | $138.04 | $194.98 | $398.11 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $154.88 | Facility | None | $125.89 | $151.36 | $154.88 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | None | $52.48 | $74.13 | $125.89 |
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 $51.29 Median $91.20 Typical High $190.55 | Facility | 52 · Reduced service | $51.29 | $91.20 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $36.31 Typical High $75.86 | Facility | 53 · Discontinued | $20.42 | $36.31 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.39 |
Where Illinois sits
The same service costs 4.5 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· 44th of 51
$95.50
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.