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 $234.42 Typical High $457.09 | Facility | None | $123.03 | $234.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $141.25 | Professional | None | $117.49 | $123.03 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $1,548.82 | Facility | None | $190.55 | $323.59 | $1,548.82 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $104.71 Typical High $114.82 | Professional | None | $3.47 | $104.71 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $346.74 Typical High $645.65 | Facility | None | $169.82 | $346.74 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $316.23 | Professional | None | $77.62 | $204.17 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $575.44 | Professional | None | $158.49 | $263.03 | $575.44 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $186.21 | Facility | None | $151.36 | $181.97 | $186.21 |
United Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $269.15 | Professional | None | $91.20 | $173.78 | $269.15 |
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 $61.66 Median $109.65 Typical High $229.09 | Facility | 52 · Reduced service | $61.66 | $109.65 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $43.65 Typical High $91.20 | Facility | 53 · Discontinued | $24.55 | $43.65 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $24.55 | $26.92 |
Where Illinois sits
The same service costs 2.9 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
$123
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.