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 $47.86 Median $91.20 Typical High $173.78 | Facility | None | $47.86 | $91.20 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $47.86 Typical High $50.12 | Professional | None | $23.44 | $47.86 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $537.03 | Facility | None | $38.90 | $77.62 | $537.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $39.81 Typical High $44.67 | Professional | None | $3.47 | $39.81 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $120.23 Typical High $239.88 | Facility | None | $42.66 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $39.81 Typical High $87.10 | Professional | None | $13.80 | $39.81 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $75.86 Typical High $109.65 | Professional | None | $40.74 | $75.86 | $109.65 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $72.44 | Facility | None | $57.54 | $69.18 | $72.44 |
United Setting Professional Modifier None Typical Low $15.49 Median $31.62 Typical High $50.12 | Professional | None | $15.49 | $31.62 | $50.12 |
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 $23.99 Median $41.69 Typical High $87.10 | Facility | 52 · Reduced service | $23.99 | $41.69 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $16.98 Typical High $35.48 | Facility | 53 · Discontinued | $9.55 | $16.98 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $23.44 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $9.55 | $10.47 |
Where Illinois sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 22nd of 51
$44.67
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.