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 $213.80 Median $363.08 Typical High $794.33 | Facility | None | $213.80 | $363.08 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $2,754.23 | Facility | None | $295.12 | $371.54 | $2,754.23 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $204.17 Typical High $263.03 | Professional | None | $3.47 | $204.17 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $1,202.26 | Facility | None | $295.12 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $338.84 Typical High $407.38 | Professional | None | $128.82 | $338.84 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $776.25 | Professional | None | $269.15 | $398.11 | $776.25 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $331.13 | Facility | None | $263.03 | $316.23 | $331.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $281.84 | Professional | None | $109.65 | $158.49 | $281.84 |
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 $107.15 Median $204.17 Typical High $398.11 | Facility | 52 · Reduced service | $107.15 | $204.17 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $83.18 Typical High $158.49 | Facility | 53 · Discontinued | $42.66 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $42.66 | $47.86 |
Where Illinois sits
The same service costs 3.7 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· 22nd of 51
$263
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.