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 $245.47 Median $426.58 Typical High $912.01 | Facility | None | $245.47 | $426.58 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $269.15 | Professional | None | $234.42 | $245.47 | $269.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $3,801.89 | Facility | None | $363.08 | $524.81 | $3,801.89 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $208.93 Typical High $234.42 | Professional | None | $3.47 | $208.93 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $1,258.93 | Facility | None | $316.23 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $407.38 Typical High $501.19 | Professional | None | $151.36 | $407.38 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $758.58 | Professional | None | $316.23 | $457.09 | $758.58 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $380.19 | Facility | None | $302.00 | $363.08 | $380.19 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $302.00 | Professional | None | $125.89 | $181.97 | $302.00 |
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 $123.03 Median $239.88 Typical High $457.09 | Facility | 52 · Reduced service | $123.03 | $239.88 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $95.50 Typical High $181.97 | Facility | 53 · Discontinued | $48.98 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $48.98 | $53.70 |
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· 43rd of 51
$234
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.