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 $114.82 Median $194.98 Typical High $426.58 | Facility | None | $114.82 | $194.98 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $141.25 | Professional | None | $109.65 | $114.82 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $1,445.44 | Facility | None | $177.83 | $302.00 | $1,445.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $97.72 Typical High $107.15 | Professional | None | $3.47 | $97.72 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $602.56 | Facility | None | $158.49 | $323.59 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $204.17 Typical High $295.12 | Professional | None | $72.44 | $204.17 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $446.68 | Professional | None | $169.82 | $257.04 | $446.68 |
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 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $177.83 | Facility | None | $141.25 | $169.82 | $177.83 |
United Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $251.19 | Professional | None | $85.11 | $169.82 | $251.19 |
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 $57.54 Median $102.33 Typical High $213.80 | Facility | 52 · Reduced service | $57.54 | $102.33 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $40.74 Typical High $85.11 | Facility | 53 · Discontinued | $22.91 | $40.74 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Where Illinois sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 50th of 51
$107
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.