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 $398.11 Median $398.11 Typical High $8,709.64 | Facility | None | $398.11 | $398.11 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
BCBS Illinois Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $8,912.51 | Facility | None | $218.78 | $346.74 | $8,912.51 |
BCBS Illinois Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $426.58 | Facility | None | $114.82 | $181.97 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $354.81 | Professional | None | $281.84 | $281.84 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $891.25 Typical High $1,412.54 | Professional | None | $151.36 | $891.25 | $1,412.54 |
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 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
2 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 Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $85.11 |
Where Illinois sits
The same service costs 13.5 times more in North Dakota than in Georgia. 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· 2nd of 51
$550
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.