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 $40.74 Median $61.66 Typical High $131.83 | Facility | None | $40.74 | $61.66 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $74.13 | Professional | None | $37.15 | $40.74 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $64.57 | Professional | None | $23.99 | $23.99 | $64.57 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $489.78 | Facility | None | $61.66 | $120.23 | $489.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $36.31 Typical High $36.31 | Professional | None | $3.47 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $114.82 Typical High $199.53 | Facility | None | $53.70 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $85.11 | Professional | None | $24.55 | $56.23 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $407.38 | Professional | None | $50.12 | $83.18 | $407.38 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | None | $26.30 | $26.30 | $58.88 |
United Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $58.88 | Facility | None | $47.86 | $57.54 | $58.88 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $51.29 | Professional | None | $19.95 | $33.88 | $51.29 |
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 $19.50 Median $35.48 Typical High $72.44 | Facility | 52 · Reduced service | $19.50 | $35.48 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $14.13 Typical High $28.84 | Facility | 53 · Discontinued | $7.76 | $14.13 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 52 · Reduced service | $19.50 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $7.76 | $7.76 | $9.55 |
Where Illinois sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 49th of 51
$36.31
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.