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 $616.60 Median $933.25 Typical High $2,290.87 | Facility | None | $616.60 | $933.25 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $954.99 | Professional | None | $575.44 | $616.60 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $9,549.93 | Facility | None | $912.01 | $1,318.26 | $9,549.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $588.84 Typical High $588.84 | Professional | None | $3.47 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $3,311.31 | Facility | None | $851.14 | $1,819.70 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $891.25 Typical High $1,258.93 | Professional | None | $398.11 | $891.25 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $3,981.07 | Professional | None | $758.58 | $1,148.15 | $3,981.07 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $954.99 | Professional | None | $416.87 | $416.87 | $954.99 |
United Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $954.99 | Facility | None | $758.58 | $912.01 | $954.99 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $794.33 | Professional | None | $316.23 | $457.09 | $794.33 |
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 $309.03 Median $588.84 Typical High $1,148.15 | Facility | 52 · Reduced service | $309.03 | $588.84 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $239.88 Typical High $457.09 | Facility | 53 · Discontinued | $125.89 | $239.88 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 52 · Reduced service | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $125.89 | $125.89 | $138.04 |
Where Illinois sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 37th of 51
$589
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.