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 $138.04 Median $263.03 Typical High $512.86 | Facility | None | $138.04 | $263.03 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $151.36 | Professional | None | $102.33 | $138.04 | $151.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $204.17 Median $295.12 Typical High $2,137.96 | Facility | None | $204.17 | $295.12 | $2,137.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $117.49 Typical High $131.83 | Professional | None | $3.47 | $117.49 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $707.95 | Facility | None | $190.55 | $354.81 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $281.84 | Professional | None | $85.11 | $194.98 | $281.84 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $446.68 | Professional | None | $173.78 | $257.04 | $446.68 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $213.80 | Facility | None | $169.82 | $204.17 | $213.80 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $169.82 | Professional | None | $70.79 | $102.33 | $169.82 |
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 $69.18 Median $123.03 Typical High $257.04 | Facility | 52 · Reduced service | $69.18 | $123.03 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $48.98 Typical High $102.33 | Facility | 53 · Discontinued | $27.54 | $48.98 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.90 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 44th of 51
$132
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.