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 $33.88 Median $51.29 Typical High $125.89 | Facility | None | $33.88 | $51.29 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $37.15 | Professional | None | $30.90 | $33.88 | $37.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $436.52 | Facility | None | $52.48 | $91.20 | $436.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $28.84 Typical High $32.36 | Professional | None | $3.47 | $28.84 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $97.72 Typical High $181.97 | Facility | None | $46.77 | $97.72 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $57.54 Typical High $87.10 | Professional | None | $21.88 | $57.54 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $398.11 | Professional | None | $45.71 | $75.86 | $398.11 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $52.48 | Facility | None | $41.69 | $50.12 | $52.48 |
United Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $44.67 | Professional | None | $17.38 | $26.92 | $44.67 |
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 $16.98 Median $30.20 Typical High $63.10 | Facility | 52 · Reduced service | $16.98 | $30.20 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $12.02 Typical High $25.12 | Facility | 53 · Discontinued | $6.92 | $12.02 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | 52 · Reduced service | $16.98 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.59 |
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· 49th of 51
$32.36
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.