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 $269.15 Median $524.81 Typical High $977.24 | Facility | None | $269.15 | $524.81 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $295.12 | Professional | None | $251.19 | $269.15 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $562.34 Typical High $4,073.80 | Facility | None | $389.05 | $562.34 | $4,073.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $223.87 Typical High $251.19 | Professional | None | $3.47 | $223.87 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $776.25 Typical High $1,412.54 | Facility | None | $363.08 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $380.19 Typical High $537.03 | Professional | None | $147.91 | $380.19 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $1,122.02 | Professional | None | $338.84 | $501.19 | $1,122.02 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $407.38 | Facility | None | $323.59 | $389.05 | $407.38 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $331.13 | Professional | None | $134.90 | $194.98 | $331.13 |
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 $131.83 Median $257.04 Typical High $489.78 | Facility | 52 · Reduced service | $131.83 | $257.04 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $102.33 Typical High $194.98 | Facility | 53 · Discontinued | $53.70 | $102.33 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $53.70 | $53.70 | $58.88 |
Where Illinois sits
The same service costs 4.2 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
$251
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.