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 $3,890.45 Median $7,585.78 Typical High $14,454.40 | Facility | None | $3,890.45 | $7,585.78 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,801.89 | $3,890.45 | $4,265.80 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,754.40 Median $8,317.64 Typical High $60,255.96 | Facility | None | $5,754.40 | $8,317.64 | $60,255.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3.47 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $11,481.54 Typical High $20,892.96 | Facility | None | $5,370.32 | $11,481.54 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $5,495.41 Typical High $7,943.28 | Professional | None | $2,344.23 | $5,495.41 | $7,943.28 |
Hally Health Setting Professional Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $13,489.63 | Professional | None | $4,786.30 | $7,244.36 | $13,489.63 |
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 $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,011.87 | Professional | None | $2,630.27 | $2,630.27 | $5,011.87 |
United Setting Facility Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $6,025.60 | Facility | None | $4,786.30 | $5,754.40 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,995.26 | $2,884.03 | $4,786.30 |
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 $1,949.84 Median $3,715.35 Typical High $7,244.36 | Facility | 52 · Reduced service | $1,949.84 | $3,715.35 | $7,244.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $776.25 Median $1,513.56 Typical High $2,884.03 | Facility | 53 · Discontinued | $776.25 | $1,513.56 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | 53 · Discontinued | $776.25 | $776.25 | $851.14 |
Where Illinois sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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
$3,715
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.