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 $34.67 Median $61.66 Typical High $125.89 | Facility | None | $34.67 | $61.66 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | None | $33.11 | $34.67 | $38.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $398.11 | Facility | None | $51.29 | $75.86 | $398.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $29.51 Typical High $32.36 | Professional | None | $3.47 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $87.10 Typical High $173.78 | Facility | None | $47.86 | $87.10 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $53.70 Typical High $72.44 | Professional | None | $21.88 | $53.70 | $72.44 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $165.96 | Professional | None | $46.77 | $67.61 | $165.96 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $52.48 | Facility | None | $42.66 | $51.29 | $52.48 |
United Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $75.86 | Professional | None | $25.70 | $46.77 | $75.86 |
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 $17.38 Median $30.90 Typical High $64.57 | Facility | 52 · Reduced service | $17.38 | $30.90 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $12.30 Typical High $25.70 | Facility | 53 · Discontinued | $6.92 | $12.30 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.59 |
Where Illinois sits
The same service costs 3.2 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
$32.36
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.