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 $54.95 Median $104.71 Typical High $204.17 | Facility | None | $54.95 | $104.71 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $81.28 | Professional | None | $53.70 | $54.95 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $144.54 Typical High $691.83 | Facility | None | $85.11 | $144.54 | $691.83 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $46.77 Typical High $51.29 | Professional | None | $3.47 | $46.77 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $281.84 | Facility | None | $75.86 | $151.36 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $79.43 Typical High $114.82 | Professional | None | $33.88 | $79.43 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $288.40 | Professional | None | $70.79 | $117.49 | $288.40 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $83.18 | Professional | None | $37.15 | $37.15 | $83.18 |
United Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $83.18 | Facility | None | $67.61 | $81.28 | $83.18 |
United Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $72.44 | Professional | None | $28.18 | $42.66 | $72.44 |
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 $27.54 Median $48.98 Typical High $102.33 | Facility | 52 · Reduced service | $27.54 | $48.98 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $19.50 Typical High $40.74 | Facility | 53 · Discontinued | $10.96 | $19.50 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | 52 · Reduced service | $27.54 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.49 |
Where Illinois sits
The same service costs 3.3 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· 41st of 51
$54.95
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.