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 $194.98 Median $371.54 Typical High $724.44 | Facility | None | $194.98 | $371.54 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $204.17 | Professional | None | $173.78 | $194.98 | $204.17 |
BCBS Illinois Setting Facility Modifier None Typical Low $288.40 Median $416.87 Typical High $3,019.95 | Facility | None | $288.40 | $416.87 | $3,019.95 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $165.96 Typical High $181.97 | Professional | None | $3.47 | $165.96 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $1,000.00 | Facility | None | $251.19 | $489.78 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $398.11 | Professional | None | $120.23 | $269.15 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $457.09 | Professional | None | $239.88 | $331.13 | $457.09 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
United Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $295.12 | Facility | None | $239.88 | $288.40 | $295.12 |
United Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $239.88 | Professional | None | $89.13 | $141.25 | $239.88 |
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 $97.72 Median $173.78 Typical High $363.08 | Facility | 52 · Reduced service | $97.72 | $173.78 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $69.18 Typical High $144.54 | Facility | 53 · Discontinued | $38.90 | $69.18 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $95.50 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $38.90 | $42.66 |
Where Illinois sits
The same service costs 3.8 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· 37th of 51
$182
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.