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 $416.87 Median $794.33 Typical High $1,513.56 | Facility | None | $416.87 | $794.33 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $6,309.57 | Facility | None | $602.56 | $870.96 | $6,309.57 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $389.05 Typical High $389.05 | Professional | None | $3.47 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,202.26 Typical High $2,187.76 | Facility | None | $562.34 | $1,202.26 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $588.84 Typical High $831.76 | Professional | None | $245.47 | $588.84 | $831.76 |
Hally Health Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $2,398.83 | Professional | None | $501.19 | $758.58 | $2,398.83 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $630.96 | Professional | None | $275.42 | $275.42 | $630.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $630.96 | Facility | None | $501.19 | $602.56 | $630.96 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $501.19 | Professional | None | $213.80 | $302.00 | $501.19 |
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 $208.93 Median $398.11 Typical High $758.58 | Facility | 52 · Reduced service | $208.93 | $398.11 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $158.49 Typical High $302.00 | Facility | 53 · Discontinued | $83.18 | $158.49 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $91.20 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 38th of 51
$389
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.