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 $104.71 Median $199.53 Typical High $389.05 | Facility | None | $104.71 | $199.53 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $162.18 | Professional | None | $95.50 | $104.71 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $173.78 | Professional | None | $64.57 | $64.57 | $173.78 |
BCBS Illinois Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $1,621.81 | Facility | None | $154.88 | $223.87 | $1,621.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $89.13 Typical High $97.72 | Professional | None | $3.47 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $549.54 | Facility | None | $144.54 | $295.12 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $173.78 Typical High $245.47 | Professional | None | $66.07 | $173.78 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $371.54 | Professional | None | $134.90 | $199.53 | $371.54 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $162.18 | Facility | None | $128.82 | $154.88 | $162.18 |
United Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $138.04 | Professional | None | $53.70 | $83.18 | $138.04 |
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 $52.48 Median $100.00 Typical High $194.98 | Facility | 52 · Reduced service | $52.48 | $100.00 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $39.81 Typical High $77.62 | Facility | 53 · Discontinued | $20.89 | $39.81 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $20.89 | $22.91 |
Where Illinois sits
The same service costs 3.3 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· 45th of 51
$97.72
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.