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 $354.81 Median $616.60 Typical High $1,258.93 | Facility | None | $354.81 | $616.60 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | None | $338.84 | $338.84 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $630.96 Typical High $630.96 | Professional | None | $19.05 | $630.96 | $630.96 |
BCBS Illinois Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $5,248.07 | Facility | None | $501.19 | $724.44 | $5,248.07 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $288.40 Typical High $323.59 | Professional | None | $3.47 | $288.40 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,819.70 | Facility | None | $467.74 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $575.44 Typical High $794.33 | Professional | None | $218.78 | $575.44 | $794.33 |
Hally Health Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,096.48 | Professional | None | $426.58 | $630.96 | $1,096.48 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $416.87 Median $501.19 Typical High $524.81 | Facility | None | $416.87 | $501.19 | $524.81 |
United Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $446.68 | Professional | None | $173.78 | $269.15 | $446.68 |
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 $169.82 Median $323.59 Typical High $630.96 | Facility | 52 · Reduced service | $169.82 | $323.59 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $131.83 Typical High $251.19 | Facility | 53 · Discontinued | $67.61 | $131.83 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $67.61 | $75.86 |
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· 44th of 51
$324
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.