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 $14.13 Median $27.54 Typical High $52.48 | Facility | None | $14.13 | $27.54 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $14.13 Typical High $14.79 | Professional | None (both parts) | $13.49 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $28.18 | Facility | None | $20.89 | $23.44 | $28.18 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $79.43 | Facility | None | $19.50 | $41.69 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $19.95 | $20.89 | $26.30 |
Hally Health Setting Professional Modifier None Typical Low $17.38 Median $23.99 Typical High $64.57 | Professional | None | $17.38 | $23.99 | $64.57 |
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 (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $21.38 | Professional | None (both parts) | $12.02 | $12.02 | $21.38 |
United Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $21.38 | Facility | None | $17.38 | $20.89 | $21.38 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.47 Typical High $18.20 | Professional | None (both parts) | $7.24 | $10.47 | $18.20 |
1 more rate 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 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.79 |
Where Illinois sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 21st of 51
$17.38
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.