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 $169.82 Median $331.13 Typical High $630.96 | Facility | None | $169.82 | $331.13 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $186.21 | Professional | None | $158.49 | $169.82 | $186.21 |
BCBS Illinois Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $2,691.53 | Facility | None | $251.19 | $302.00 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $144.54 Typical High $158.49 | Professional | None | $3.47 | $144.54 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $954.99 | Facility | None | $234.42 | $501.19 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $269.15 Typical High $316.23 | Professional | None | $102.33 | $269.15 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $478.63 | Professional | None | $218.78 | $309.03 | $478.63 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $257.04 | Facility | None | $208.93 | $251.19 | $257.04 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $223.87 | Professional | None | $87.10 | $123.03 | $223.87 |
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 $85.11 Median $162.18 Typical High $316.23 | Facility | 52 · Reduced service | $85.11 | $162.18 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $64.57 Typical High $125.89 | Facility | 53 · Discontinued | $33.88 | $64.57 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $33.88 | $37.15 |
Where Illinois sits
The same service costs 5.0 times more in Texas than in Oklahoma. 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· 43rd of 51
$158
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.