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 $104.71 Median $177.83 Typical High $389.05 | Facility | None | $104.71 | $177.83 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | None | $83.18 | $104.71 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $1,621.81 | Facility | None | $151.36 | $218.78 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $87.10 Typical High $97.72 | Professional | None | $3.47 | $87.10 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $524.81 | Facility | None | $144.54 | $275.42 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $169.82 Typical High $213.80 | Professional | None | $64.57 | $169.82 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $338.84 | Professional | None | $134.90 | $190.55 | $338.84 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $158.49 | Facility | None | $128.82 | $151.36 | $158.49 |
United Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $138.04 | Professional | None | $53.70 | $83.18 | $138.04 |
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 $52.48 Median $100.00 Typical High $194.98 | Facility | 52 · Reduced service | $52.48 | $100.00 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $39.81 Typical High $77.62 | Facility | 53 · Discontinued | $20.89 | $39.81 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $20.89 | $22.91 |
Where Illinois sits
The same service costs 4.6 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· 46th of 51
$97.72
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.