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 $64.57 Median $91.20 Typical High $223.87 | Facility | None | $64.57 | $91.20 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $109.65 | Professional | None | $58.88 | $61.66 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
BCBS Illinois Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $933.25 | Facility | None | $89.13 | $131.83 | $933.25 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $57.54 Typical High $57.54 | Professional | None | $3.47 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $309.03 | Facility | None | $85.11 | $173.78 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $114.82 | Professional | None | $38.90 | $87.10 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $562.34 | Professional | None | $79.43 | $120.23 | $562.34 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Professional | None | $40.74 | $52.48 | $93.33 |
United Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $93.33 | Facility | None | $74.13 | $89.13 | $93.33 |
United Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $81.28 | Professional | None | $31.62 | $54.95 | $81.28 |
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 $30.90 Median $53.70 Typical High $112.20 | Facility | 52 · Reduced service | $30.90 | $53.70 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $21.88 Typical High $45.71 | Facility | 53 · Discontinued | $12.30 | $21.88 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.49 |
Where Illinois sits
The same service costs 5.4 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· 46th of 51
$57.54
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.