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 $269.15 Median $457.09 Typical High $977.24 | Facility | None | $269.15 | $457.09 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $295.12 | Professional | None | $204.17 | $269.15 | $295.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $4,073.80 | Facility | None | $389.05 | $575.44 | $4,073.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $251.19 Typical High $251.19 | Professional | None | $3.47 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $660.69 Typical High $1,348.96 | Facility | None | $245.47 | $660.69 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $245.47 Typical High $467.74 | Professional | None | $81.28 | $245.47 | $467.74 |
Hally Health Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $891.25 | Professional | None | $281.84 | $457.09 | $891.25 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $407.38 | Professional | None | $177.83 | $177.83 | $407.38 |
United Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $407.38 | Facility | None | $323.59 | $389.05 | $407.38 |
United Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $346.74 | Professional | None | $87.10 | $138.04 | $346.74 |
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 $134.90 Median $234.42 Typical High $489.78 | Facility | 52 · Reduced service | $134.90 | $234.42 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $95.50 Typical High $194.98 | Facility | 53 · Discontinued | $53.70 | $95.50 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $53.70 | $53.70 | $58.88 |
Where Illinois sits
The same service costs 8.9 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· 26th of 51
$251
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.