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 $66.07 Median $125.89 Typical High $245.47 | Facility | None | $66.07 | $125.89 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $72.44 | Professional | None | $63.10 | $66.07 | $72.44 |
BCBS Illinois Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $831.76 | Facility | None | $102.33 | $173.78 | $831.76 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $54.95 Typical High $61.66 | Professional | None | $3.47 | $54.95 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $190.55 Typical High $331.13 | Facility | None | $89.13 | $190.55 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $95.50 Typical High $144.54 | Professional | None | $41.69 | $95.50 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $181.97 | Professional | None | $85.11 | $114.82 | $181.97 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $100.00 | Professional | None | $44.67 | $44.67 | $100.00 |
United Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $100.00 | Facility | None | $81.28 | $95.50 | $100.00 |
United Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $87.10 | Professional | None | $33.88 | $51.29 | $87.10 |
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 $33.11 Median $58.88 Typical High $120.23 | Facility | 52 · Reduced service | $33.11 | $58.88 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $23.44 Typical High $48.98 | Facility | 53 · Discontinued | $13.18 | $23.44 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.22 |
Where Illinois sits
The same service costs 4.6 times more in Kansas 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· 35th of 51
$66.07
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.