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 $37.15 Median $67.61 Typical High $128.82 | Facility | None | $37.15 | $67.61 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $38.90 | Professional | None | $31.62 | $35.48 | $38.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $54.95 Median $93.33 Typical High $446.68 | Facility | None | $54.95 | $93.33 | $446.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $29.51 Typical High $33.11 | Professional | None | $3.47 | $29.51 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $100.00 Typical High $186.21 | Facility | None | $47.86 | $100.00 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $58.88 Typical High $89.13 | Professional | None | $22.39 | $58.88 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $239.88 | Professional | None | $46.77 | $77.62 | $239.88 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $53.70 | Facility | None | $42.66 | $51.29 | $53.70 |
United Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $45.71 | Professional | None | $17.78 | $27.54 | $45.71 |
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 $17.38 Median $30.90 Typical High $64.57 | Facility | 52 · Reduced service | $17.38 | $30.90 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $12.30 Typical High $25.70 | Facility | 53 · Discontinued | $7.08 | $12.30 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.76 |
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· 48th of 51
$33.11
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.