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 $123.03 Median $208.93 Typical High $426.58 | Facility | None | $123.03 | $208.93 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $144.54 | Professional | None | $112.20 | $117.49 | $144.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $1,348.96 | Facility | None | $190.55 | $371.54 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $100.00 Typical High $109.65 | Professional | None | $3.47 | $100.00 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $602.56 | Facility | None | $162.18 | $309.03 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $194.98 Typical High $263.03 | Professional | None | $74.13 | $194.98 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $512.86 | Professional | None | $177.83 | $245.47 | $512.86 |
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 $144.54 Median $173.78 Typical High $177.83 | Facility | None | $144.54 | $173.78 | $177.83 |
United Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $257.04 | Professional | None | $87.10 | $173.78 | $257.04 |
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 $58.88 Median $104.71 Typical High $218.78 | Facility | 52 · Reduced service | $58.88 | $104.71 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $41.69 Typical High $87.10 | Facility | 53 · Discontinued | $23.44 | $41.69 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.44 | $24.55 |
Where Illinois sits
The same service costs 5.6 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· 49th of 51
$112
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.