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 $239.88 Median $467.74 Typical High $891.25 | Facility | None | $239.88 | $467.74 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $269.15 | Professional | None | $234.42 | $239.88 | $269.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $3,715.35 | Facility | None | $354.81 | $512.86 | $3,715.35 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $204.17 Typical High $229.09 | Professional | None | $3.47 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $1,230.27 | Facility | None | $331.13 | $616.60 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $338.84 Typical High $489.78 | Professional | None | $134.90 | $338.84 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $891.25 | Professional | None | $309.03 | $457.09 | $891.25 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $371.54 | Facility | None | $295.12 | $354.81 | $371.54 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $295.12 | Professional | None | $123.03 | $177.83 | $295.12 |
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 $120.23 Median $213.80 Typical High $446.68 | Facility | 52 · Reduced service | $120.23 | $213.80 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $85.11 Typical High $177.83 | Facility | 53 · Discontinued | $48.98 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $48.98 | $53.70 |
Where Illinois sits
The same service costs 3.8 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· 42nd of 51
$229
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.