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 $128.82 Median $309.03 Typical High $8,709.64 | Facility | None | $128.82 | $309.03 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | None | $239.88 | $309.03 | $309.03 |
BCBS Illinois Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $3,162.28 | Facility | None | $67.61 | $107.15 | $3,162.28 |
BCBS Illinois Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $120.23 Typical High $165.96 | Facility | None | $36.31 | $120.23 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | None | $251.19 | $257.04 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $512.86 Typical High $776.25 | Professional | None | $151.36 | $512.86 | $776.25 |
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 $123.03 Median $123.03 Typical High $141.25 | Facility | None | $123.03 | $123.03 | $141.25 |
United Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $61.66 | $63.10 |
Where Illinois sits
The same service costs 7.4 times more in South Dakota than in Arkansas. 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· 44th of 51
$195
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.