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 $173.78 Median $331.13 Typical High $645.65 | Facility | None | $173.78 | $331.13 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $190.55 | Professional | None | $158.49 | $173.78 | $190.55 |
BCBS Illinois Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $2,691.53 | Facility | None | $257.04 | $363.08 | $2,691.53 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $147.91 Typical High $165.96 | Professional | None | $3.47 | $147.91 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $891.25 | Facility | None | $234.42 | $446.68 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $239.88 Typical High $354.81 | Professional | None | $107.15 | $239.88 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $398.11 | Professional | None | $213.80 | $302.00 | $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 $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $269.15 | Facility | None | $213.80 | $257.04 | $269.15 |
United Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $213.80 | Professional | None | $83.18 | $128.82 | $213.80 |
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 $87.10 Median $154.88 Typical High $323.59 | Facility | 52 · Reduced service | $87.10 | $154.88 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $61.66 Typical High $128.82 | Facility | 53 · Discontinued | $34.67 | $61.66 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Where Illinois sits
The same service costs 3.7 times more in Alaska 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· 41st of 51
$166
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.