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 $331.13 Median $630.96 Typical High $1,230.27 | Facility | None | $331.13 | $630.96 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $363.08 | Professional | None | $323.59 | $331.13 | $363.08 |
BCBS Illinois Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $5,011.87 | Facility | None | $478.63 | $707.95 | $5,011.87 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $275.42 Typical High $309.03 | Professional | None | $3.47 | $275.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $1,737.80 | Facility | None | $446.68 | $933.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $549.54 Typical High $724.44 | Professional | None | $204.17 | $549.54 | $724.44 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $1,071.52 | Professional | None | $398.11 | $602.56 | $1,071.52 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $501.19 | Facility | None | $398.11 | $478.63 | $501.19 |
United Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $436.52 | Professional | None | $169.82 | $263.03 | $436.52 |
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 $165.96 Median $288.40 Typical High $602.56 | Facility | 52 · Reduced service | $165.96 | $288.40 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $117.49 Typical High $245.47 | Facility | 53 · Discontinued | $66.07 | $117.49 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | 52 · Reduced service | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 53 · Discontinued | $66.07 | $66.07 | $72.44 |
Where Illinois sits
The same service costs 3.8 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· 49th of 51
$309
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.