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 $144.54 Median $281.84 Typical High $524.81 | Facility | None | $144.54 | $281.84 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $158.49 | Professional | None | $114.82 | $144.54 | $158.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $2,290.87 | Facility | None | $208.93 | $257.04 | $2,290.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $120.23 Typical High $134.90 | Professional | None | $3.47 | $120.23 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $426.58 Typical High $758.58 | Facility | None | $194.98 | $426.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $208.93 Typical High $288.40 | Professional | None | $79.43 | $208.93 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $426.58 | Professional | None | $186.21 | $263.03 | $426.58 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $218.78 | Facility | None | $173.78 | $208.93 | $218.78 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | None | $74.13 | $104.71 | $177.83 |
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 $72.44 Median $138.04 Typical High $263.03 | Facility | 52 · Reduced service | $72.44 | $138.04 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $54.95 Typical High $107.15 | Facility | 53 · Discontinued | $28.84 | $54.95 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $28.84 | $31.62 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Delaware. 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
$135
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.