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 $16.60 Median $28.18 Typical High $61.66 | Facility | None | $16.60 | $28.18 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | None | $16.60 | $16.60 | $18.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $27.54 Median $51.29 Typical High $158.49 | Facility | None | $27.54 | $51.29 | $158.49 |
BCBS Illinois Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | None | $14.13 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $46.77 Typical High $87.10 | Facility | None | $22.91 | $46.77 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Hally Health Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $93.33 | Professional | None | $25.12 | $36.31 | $93.33 |
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 |
United Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $25.12 | Facility | None | $20.42 | $24.55 | $25.12 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $21.88 | Professional | None | $8.51 | $12.88 | $21.88 |
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 $8.32 Median $8.32 Typical High $8.71 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.47 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.47 |
Where Illinois sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 47th of 51
$15.85
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.