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 $123.03 Median $234.42 Typical High $457.09 | Facility | None | $123.03 | $234.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $134.90 | Professional | None | $100.00 | $123.03 | $134.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $1,905.46 | Facility | None | $181.97 | $257.04 | $1,905.46 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $104.71 Typical High $114.82 | Professional | None | $3.47 | $104.71 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $630.96 | Facility | None | $158.49 | $316.23 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $204.17 Typical High $251.19 | Professional | None | $74.13 | $204.17 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $338.84 | Professional | None | $158.49 | $218.78 | $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 $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $186.21 | Facility | None | $151.36 | $181.97 | $186.21 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $151.36 | Professional | None | $63.10 | $91.20 | $151.36 |
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 $61.66 Median $117.49 Typical High $229.09 | Facility | 52 · Reduced service | $61.66 | $117.49 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $46.77 Typical High $91.20 | Facility | 53 · Discontinued | $24.55 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $24.55 | $26.92 |
Where Illinois sits
The same service costs 5.4 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· 42nd of 51
$115
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.