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 $1,096.48 Median $2,137.96 Typical High $4,073.80 | Facility | None | $1,096.48 | $2,137.96 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,096.48 | $1,202.26 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $16,982.44 | Facility | None | $1,621.81 | $2,344.23 | $16,982.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $1,047.13 Typical High $1,047.13 | Professional | None | $3.47 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,235.94 Typical High $5,888.44 | Facility | None | $1,513.56 | $3,235.94 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,584.89 Typical High $2,238.72 | Professional | None | $660.69 | $1,584.89 | $2,238.72 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,995.26 | $3,162.28 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,698.24 | Professional | None | $741.31 | $741.31 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,348.96 | $1,621.81 | $1,698.24 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,348.96 | Professional | None | $562.34 | $812.83 | $1,348.96 |
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 $549.54 Median $1,047.13 Typical High $2,041.74 | Facility | 52 · Reduced service | $549.54 | $1,047.13 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $223.87 Median $426.58 Typical High $812.83 | Facility | 53 · Discontinued | $223.87 | $426.58 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $223.87 | $223.87 | $245.47 |
Where Illinois sits
The same service costs 5.1 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· 31st of 51
$1,047
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.