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 $478.63 Median $933.25 Typical High $1,778.28 | Facility | None | $478.63 | $933.25 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | None | $478.63 | $478.63 | $524.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $7,413.10 | Facility | None | $707.95 | $1,023.29 | $7,413.10 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $446.68 Typical High $446.68 | Professional | None | $3.47 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,511.89 | Facility | None | $660.69 | $1,412.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $794.33 Typical High $1,122.02 | Professional | None | $295.12 | $794.33 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $5,623.41 | Professional | None | $588.84 | $912.01 | $5,623.41 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $724.44 | Professional | None | $407.38 | $407.38 | $724.44 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $724.44 | Facility | None | $588.84 | $707.95 | $724.44 |
United Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $707.95 | Professional | None | $245.47 | $380.19 | $707.95 |
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 $239.88 Median $457.09 Typical High $891.25 | Facility | 52 · Reduced service | $239.88 | $457.09 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $181.97 Typical High $354.81 | Facility | 53 · Discontinued | $95.50 | $181.97 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | 53 · Discontinued | $95.50 | $95.50 | $104.71 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 47th of 51
$447
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.