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 $363.08 Median $1,318.26 Typical High $3,890.45 | Facility | None | $363.08 | $1,318.26 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $524.81 | Professional | None | $363.08 | $363.08 | $524.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $5,495.41 | Facility | None | $1,548.82 | $1,862.09 | $5,495.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $1,000.00 Typical High $1,000.00 | Professional | None | $3.47 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,778.28 Typical High $5,623.41 | Facility | None | $489.78 | $1,778.28 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $1,380.38 Typical High $2,137.96 | Professional | None | $229.09 | $1,380.38 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,737.80 | $2,344.23 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,621.81 | Professional | None | $239.88 | $239.88 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,318.26 | $1,548.82 | $1,621.81 |
United Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $645.65 | Professional | None | $186.21 | $323.59 | $645.65 |
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 $181.97 Median $645.65 Typical High $1,949.84 | Facility | 52 · Reduced service | $181.97 | $645.65 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $263.03 Typical High $776.25 | Facility | 53 · Discontinued | $72.44 | $263.03 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 52 · Reduced service | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 53 · Discontinued | $72.44 | $72.44 | $79.43 |
Where Illinois sits
The same service costs 5.2 times more in North Dakota 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· 9th of 51
$1,000
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.