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 $288.40 Median $426.58 Typical High $1,047.13 | Facility | None | $288.40 | $426.58 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $316.23 | Professional | None | $269.15 | $288.40 | $316.23 |
BCBS Illinois Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $4,365.16 | Facility | None | $416.87 | $616.60 | $4,365.16 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $239.88 Typical High $269.15 | Professional | None | $3.47 | $239.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $1,445.44 | Facility | None | $389.05 | $724.44 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $446.68 Typical High $575.44 | Professional | None | $173.78 | $446.68 | $575.44 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $1,258.93 | Professional | None | $346.74 | $524.81 | $1,258.93 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $436.52 | Facility | None | $346.74 | $416.87 | $436.52 |
United Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $380.19 | Professional | None | $147.91 | $218.78 | $380.19 |
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 $144.54 Median $251.19 Typical High $524.81 | Facility | 52 · Reduced service | $144.54 | $251.19 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $100.00 Typical High $208.93 | Facility | 53 · Discontinued | $57.54 | $100.00 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $138.04 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $57.54 | $63.10 |
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· 41st of 51
$269
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.