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 $120.23 Median $213.80 Typical High $436.52 | Facility | None | $120.23 | $213.80 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $141.25 | Professional | None | $112.20 | $117.49 | $141.25 |
BCBS Illinois Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $1,348.96 | Facility | None | $173.78 | $269.15 | $1,348.96 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $100.00 Typical High $112.20 | Professional | None | $3.47 | $100.00 | $112.20 |
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 $75.86 Median $190.55 Typical High $263.03 | Professional | None | $75.86 | $190.55 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $524.81 | Professional | None | $151.36 | $234.42 | $524.81 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $181.97 | Facility | None | $144.54 | $173.78 | $181.97 |
United Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $257.04 | Professional | None | $87.10 | $158.49 | $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 $23.99 Median $41.69 Typical High $87.10 | Facility | 53 · Discontinued | $23.99 | $41.69 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Where Illinois sits
The same service costs 5.0 times more in Kansas 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· 48th 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.