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 $1,230.27 Median $2,398.83 Typical High $4,466.84 | Facility | None | $1,230.27 | $2,398.83 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,230.27 | $1,348.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $97.72 Median $1,995.26 Typical High $13,803.84 | Facility | None | $97.72 | $1,995.26 | $13,803.84 |
BCBS Illinois Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $3,019.95 Typical High $6,165.95 | Facility | None | $64.57 | $3,019.95 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,698.24 Typical High $2,187.76 | Professional | None | $776.25 | $1,698.24 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,202.26 | $2,137.96 | $3,801.89 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $1,862.09 | Professional | None | $812.83 | $1,479.11 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,479.11 | $1,778.28 | $1,862.09 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,584.89 | Professional | None | $630.96 | $891.25 | $1,584.89 |
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 $616.60 Median $1,174.90 Typical High $2,238.72 | Facility | 52 · Reduced service | $616.60 | $1,174.90 | $2,238.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $245.47 Median $467.74 Typical High $891.25 | Facility | 53 · Discontinued | $245.47 | $467.74 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | 52 · Reduced service | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $245.47 | $245.47 | $269.15 |
Where Illinois sits
The same service costs 5.6 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· 28th of 51
$1,148
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.