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 $223.87 Median $426.58 Typical High $831.76 | Facility | None | $223.87 | $426.58 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $245.47 | Professional | None | $213.80 | $223.87 | $245.47 |
BCBS Illinois Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $3,467.37 | Facility | None | $331.13 | $478.63 | $3,467.37 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $190.55 Typical High $213.80 | Professional | None | $3.47 | $190.55 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $575.44 Typical High $1,148.15 | Facility | None | $295.12 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $371.54 Typical High $457.09 | Professional | None | $138.04 | $371.54 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $691.83 | Professional | None | $281.84 | $416.87 | $691.83 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $346.74 | Facility | None | $275.42 | $331.13 | $346.74 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $275.42 | Professional | None | $114.82 | $165.96 | $275.42 |
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 $112.20 Median $213.80 Typical High $416.87 | Facility | 52 · Reduced service | $112.20 | $213.80 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $85.11 Typical High $165.96 | Facility | 53 · Discontinued | $44.67 | $85.11 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $44.67 | $48.98 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$214
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.