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 $181.97 Median $346.74 Typical High $660.69 | Facility | None | $181.97 | $346.74 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $199.53 | Professional | None | $165.96 | $181.97 | $199.53 |
BCBS Illinois Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $2,754.23 | Facility | None | $263.03 | $389.05 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $151.36 Typical High $169.82 | Professional | None | $3.47 | $151.36 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $954.99 | Facility | None | $245.47 | $512.86 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $302.00 Typical High $398.11 | Professional | None | $112.20 | $302.00 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $549.54 | Professional | None | $218.78 | $331.13 | $549.54 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $275.42 | Facility | None | $218.78 | $263.03 | $275.42 |
United Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $239.88 | Professional | None | $93.33 | $144.54 | $239.88 |
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 $91.20 Median $158.49 Typical High $331.13 | Facility | 52 · Reduced service | $91.20 | $158.49 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $134.90 | Facility | 53 · Discontinued | $36.31 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $89.13 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $35.48 | $36.31 | $39.81 |
Where Illinois sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$170
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.