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 $147.91 Median $269.15 Typical High $524.81 | Facility | None | $147.91 | $269.15 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $199.53 | Professional | None | $134.90 | $141.25 | $199.53 |
BCBS Illinois Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $1,737.80 | Facility | None | $234.42 | $512.86 | $1,737.80 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $120.23 Typical High $134.90 | Professional | None | $3.47 | $120.23 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $724.44 | Facility | None | $194.98 | $389.05 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $239.88 Typical High $346.74 | Professional | None | $91.20 | $239.88 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $549.54 | Professional | None | $181.97 | $302.00 | $549.54 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $218.78 | Facility | None | $173.78 | $208.93 | $218.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $309.03 | Professional | None | $104.71 | $190.55 | $309.03 |
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 $70.79 Median $125.89 Typical High $263.03 | Facility | 52 · Reduced service | $70.79 | $125.89 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $50.12 Typical High $104.71 | Facility | 53 · Discontinued | $28.18 | $50.12 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Where Illinois sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 51st of 51
$135
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.