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 $45.71 Median $87.10 Typical High $169.82 | Facility | None | $45.71 | $87.10 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $66.07 | Professional | None | $44.67 | $45.71 | $66.07 |
BCBS Illinois Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $575.44 | Facility | None | $44.67 | $75.86 | $575.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $42.66 Typical High $42.66 | Professional | None | $3.47 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $125.89 Typical High $234.42 | Facility | None | $63.10 | $125.89 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $66.07 Typical High $85.11 | Professional | None | $26.92 | $66.07 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $162.18 | Professional | None | $51.29 | $87.10 | $162.18 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $69.18 | Professional | None | $30.90 | $30.90 | $69.18 |
United Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $69.18 | Facility | None | $56.23 | $67.61 | $69.18 |
United Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $60.26 | Professional | None | $17.78 | $33.88 | $60.26 |
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 $22.91 Median $40.74 Typical High $85.11 | Facility | 52 · Reduced service | $22.91 | $40.74 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $16.22 Typical High $33.88 | Facility | 53 · Discontinued | $9.12 | $16.22 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 53 · Discontinued | $9.12 | $9.12 | $11.22 |
Where Illinois sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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
$42.66
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.