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 $1,995.26 Median $2,951.21 Typical High $7,413.10 | Facility | None | $1,995.26 | $2,951.21 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,995.26 | $1,995.26 | $2,290.87 |
BCBS Illinois Setting Facility Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $31,622.78 | Facility | None | $2,951.21 | $3,548.13 | $31,622.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $1,698.24 Typical High $1,905.46 | Professional | None | $3.47 | $1,698.24 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $5,888.44 Typical High $10,471.29 | Facility | None | $2,754.23 | $5,888.44 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $4,073.80 | Professional | None | $1,122.02 | $2,884.03 | $4,073.80 |
Hally Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,715.35 Typical High $6,606.93 | Professional | None | $2,511.89 | $3,715.35 | $6,606.93 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,090.30 | Facility | None | $2,454.71 | $2,951.21 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,479.11 | $2,454.71 |
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 $1,000.00 Median $1,905.46 Typical High $3,715.35 | Facility | 52 · Reduced service | $1,000.00 | $1,905.46 | $3,715.35 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $398.11 Median $758.58 Typical High $1,479.11 | Facility | 53 · Discontinued | $398.11 | $758.58 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 53 · Discontinued | $398.11 | $398.11 | $436.52 |
Where Illinois sits
The same service costs 5.4 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· 41st of 51
$1,905
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.