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 $89.13 Median $169.82 Typical High $331.13 | Facility | None | $89.13 | $169.82 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $97.72 | Professional | None | $69.18 | $89.13 | $97.72 |
BCBS Illinois Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $1,380.38 | Facility | None | $131.83 | $190.55 | $1,380.38 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $75.86 Typical High $83.18 | Professional | None | $3.47 | $75.86 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $467.74 | Facility | None | $123.03 | $251.19 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $147.91 Typical High $194.98 | Professional | None | $54.95 | $147.91 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $331.13 | Professional | None | $120.23 | $169.82 | $331.13 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $134.90 | Facility | None | $109.65 | $131.83 | $134.90 |
United Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $117.49 | Professional | None | $45.71 | $70.79 | $117.49 |
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 $44.67 Median $79.43 Typical High $165.96 | Facility | 52 · Reduced service | $44.67 | $79.43 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $31.62 Typical High $66.07 | Facility | 53 · Discontinued | $17.78 | $31.62 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.50 |
Where Illinois sits
The same service costs 3.9 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· 44th of 51
$83.18
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.