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 $41.69 Median $79.43 Typical High $151.36 | Facility | None | $41.69 | $79.43 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $50.12 | Professional | None | $38.90 | $41.69 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $64.57 Median $109.65 Typical High $524.81 | Facility | None | $64.57 | $109.65 | $524.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $34.67 Typical High $38.90 | Professional | None | $3.47 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $123.03 Typical High $208.93 | Facility | None | $56.23 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $58.88 Typical High $91.20 | Professional | None | $26.30 | $58.88 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $208.93 | Professional | None | $52.48 | $89.13 | $208.93 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $63.10 | Professional | None | $27.54 | $27.54 | $63.10 |
United Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $63.10 | Facility | None | $50.12 | $60.26 | $63.10 |
United Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $54.95 | Professional | None | $21.38 | $32.36 | $54.95 |
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 $20.89 Median $37.15 Typical High $75.86 | Facility | 52 · Reduced service | $20.89 | $37.15 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $15.14 Typical High $30.20 | Facility | 53 · Discontinued | $8.32 | $15.14 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | 52 · Reduced service | $20.89 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.00 |
Where Illinois sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 38th of 51
$41.69
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.