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 $218.78 Median $416.87 Typical High $794.33 | Facility | None | $218.78 | $416.87 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $239.88 | Professional | None | $213.80 | $218.78 | $239.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $2,454.71 | Facility | None | $316.23 | $436.52 | $2,454.71 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $181.97 Typical High $204.17 | Professional | None | $3.47 | $181.97 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $1,096.48 | Facility | None | $295.12 | $549.54 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $309.03 Typical High $436.52 | Professional | None | $120.23 | $309.03 | $436.52 |
Hally Health Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $588.84 | Professional | None | $275.42 | $371.54 | $588.84 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $331.13 | Facility | None | $263.03 | $316.23 | $331.13 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $436.52 | Professional | None | $158.49 | $263.03 | $436.52 |
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 $107.15 Median $190.55 Typical High $398.11 | Facility | 52 · Reduced service | $107.15 | $190.55 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $75.86 Typical High $158.49 | Facility | 53 · Discontinued | $43.65 | $75.86 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $43.65 | $47.86 |
Where Illinois sits
The same service costs 3.4 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· 47th of 51
$204
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.