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 $549.54 Median $1,071.52 Typical High $2,041.74 | Facility | None | $549.54 | $1,071.52 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | None | $549.54 | $549.54 | $602.56 |
BCBS Illinois Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $8,511.38 | Facility | None | $812.83 | $1,174.90 | $8,511.38 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $467.74 Typical High $524.81 | Professional | None | $3.47 | $467.74 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $2,818.38 | Facility | None | $758.58 | $1,412.54 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $870.96 Typical High $1,122.02 | Professional | None | $338.84 | $870.96 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,548.82 | Professional | None | $676.08 | $1,023.29 | $1,548.82 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $851.14 | Facility | None | $676.08 | $812.83 | $851.14 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $724.44 | Professional | None | $281.84 | $426.58 | $724.44 |
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 $275.42 Median $489.78 Typical High $1,023.29 | Facility | 52 · Reduced service | $275.42 | $489.78 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $194.98 Typical High $407.38 | Facility | 53 · Discontinued | $112.20 | $194.98 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $112.20 | $123.03 |
Where Illinois sits
The same service costs 3.6 times more in Texas 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· 47th of 51
$525
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.