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 $35.48 Median $69.18 Typical High $131.83 | Facility | None | $35.48 | $69.18 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $52.48 | Professional | None | $33.11 | $35.48 | $52.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $436.52 | Facility | None | $52.48 | $87.10 | $436.52 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $30.20 Typical High $33.88 | Professional | None | $3.47 | $30.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $181.97 | Facility | None | $48.98 | $95.50 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $60.26 Typical High $83.18 | Professional | None | $22.91 | $60.26 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $162.18 | Professional | None | $43.65 | $69.18 | $162.18 |
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 $43.65 Median $52.48 Typical High $54.95 | Facility | None | $43.65 | $52.48 | $54.95 |
United Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $46.77 | Professional | None | $18.20 | $28.18 | $46.77 |
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 $17.78 Median $31.62 Typical High $66.07 | Facility | 52 · Reduced service | $17.78 | $31.62 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $12.59 Typical High $26.30 | Facility | 53 · Discontinued | $7.08 | $12.59 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.94 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$34.67
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.