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 $44.67 Median $85.11 Typical High $165.96 | Facility | None | $44.67 | $85.11 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $53.70 | Professional | None | $42.66 | $44.67 | $53.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $512.86 | Facility | None | $64.57 | $87.10 | $512.86 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $41.69 Typical High $41.69 | Professional | None | $3.47 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $223.87 | Facility | None | $61.66 | $109.65 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $77.62 | Professional | None | $27.54 | $61.66 | $77.62 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $245.47 | Professional | None | $57.54 | $87.10 | $245.47 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $67.61 | Professional | None | $30.20 | $30.20 | $67.61 |
United Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $67.61 | Facility | None | $53.70 | $64.57 | $67.61 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $57.54 | Professional | None | $22.91 | $32.36 | $57.54 |
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 $22.39 Median $42.66 Typical High $81.28 | Facility | 52 · Reduced service | $22.39 | $42.66 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $16.98 Typical High $33.11 | Facility | 53 · Discontinued | $8.91 | $16.98 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 52 · Reduced service | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.96 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.96 |
Where Illinois sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 37th 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.