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 $165.96 Median $245.47 Typical High $616.60 | Facility | None | $165.96 | $245.47 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $181.97 | Professional | None | $151.36 | $165.96 | $181.97 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $2,511.89 | Facility | None | $239.88 | $354.81 | $2,511.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $138.04 Typical High $154.88 | Professional | None | $3.47 | $138.04 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $467.74 Typical High $870.96 | Facility | None | $223.87 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $275.42 Typical High $363.08 | Professional | None | $102.33 | $275.42 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $588.84 | Professional | None | $199.53 | $302.00 | $588.84 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $251.19 | Facility | None | $199.53 | $239.88 | $251.19 |
United Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $218.78 | Professional | None | $85.11 | $131.83 | $218.78 |
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 $83.18 Median $144.54 Typical High $302.00 | Facility | 52 · Reduced service | $83.18 | $144.54 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $58.88 Typical High $123.03 | Facility | 53 · Discontinued | $33.11 | $58.88 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $33.11 | $36.31 |
Where Illinois sits
The same service costs 3.2 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· 49th of 51
$155
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.