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 $72.44 Median $125.89 Typical High $257.04 | Facility | None | $72.44 | $125.89 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $112.20 | Professional | None | $64.57 | $69.18 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $114.82 Typical High $128.82 | Professional | None | $42.66 | $114.82 | $128.82 |
BCBS Illinois Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $870.96 | Facility | None | $107.15 | $181.97 | $870.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $58.88 Typical High $66.07 | Professional | None | $3.47 | $58.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $194.98 Typical High $371.54 | Facility | None | $95.50 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $117.49 Typical High $177.83 | Professional | None | $44.67 | $117.49 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $426.58 | Professional | None | $93.33 | $144.54 | $426.58 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $107.15 | Facility | None | $85.11 | $102.33 | $107.15 |
United Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $91.20 | Professional | None | $35.48 | $54.95 | $91.20 |
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 $34.67 Median $61.66 Typical High $128.82 | Facility | 52 · Reduced service | $34.67 | $61.66 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $24.55 Typical High $51.29 | Facility | 53 · Discontinued | $13.80 | $24.55 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.49 |
Where Illinois sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$66.07
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.