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 $117.49 Median $218.78 Typical High $426.58 | Facility | None | $117.49 | $218.78 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $177.83 | Professional | None | $109.65 | $117.49 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $1,479.11 | Facility | None | $158.49 | $204.17 | $1,479.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $97.72 Typical High $109.65 | Professional | None | $3.47 | $97.72 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $346.74 Typical High $660.69 | Facility | None | $162.18 | $346.74 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $186.21 Typical High $218.78 | Professional | None | $69.18 | $186.21 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $380.19 | Professional | None | $151.36 | $218.78 | $380.19 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $177.83 | Facility | None | $141.25 | $169.82 | $177.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $154.88 | Professional | None | $60.26 | $85.11 | $154.88 |
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 $58.88 Median $112.20 Typical High $213.80 | Facility | 52 · Reduced service | $58.88 | $112.20 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $44.67 Typical High $87.10 | Facility | 53 · Discontinued | $23.44 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $23.44 | $25.70 |
Where Illinois sits
The same service costs 5.1 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· 42nd of 51
$110
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.