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 $263.03 Median $501.19 Typical High $977.24 | Facility | None | $263.03 | $501.19 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $389.05 Median $562.34 Typical High $4,073.80 | Facility | None | $389.05 | $562.34 | $4,073.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | None | $223.87 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $1,348.96 | Facility | None | $363.08 | $741.31 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $371.54 Typical High $489.78 | Professional | None | $169.82 | $371.54 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $1,047.13 | Professional | None | $323.59 | $467.74 | $1,047.13 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $407.38 | Professional | None | $177.83 | $223.87 | $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 $134.90 Median $245.47 Typical High $354.81 | Professional | None | $134.90 | $245.47 | $354.81 |
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 $131.83 Median $234.42 Typical High $489.78 | Facility | 52 · Reduced service | $131.83 | $234.42 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $93.33 Typical High $194.98 | Facility | 53 · Discontinued | $52.48 | $93.33 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $52.48 | $58.88 |
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· 35th 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.