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 $57.54 Median $112.20 Typical High $208.93 | Facility | None | $57.54 | $112.20 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None | $57.54 | $57.54 | $69.18 |
BCBS Illinois Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $645.65 | Facility | None | $85.11 | $131.83 | $645.65 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $53.70 Typical High $53.70 | Professional | None | $3.47 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $141.25 Typical High $288.40 | Facility | None | $77.62 | $141.25 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $79.43 Typical High $102.33 | Professional | None | $36.31 | $79.43 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $891.25 | Professional | None | $72.44 | $112.20 | $891.25 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $87.10 | Professional | None | $38.02 | $48.98 | $87.10 |
United Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $87.10 | Facility | None | $69.18 | $83.18 | $87.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $74.13 | Professional | None | $29.51 | $41.69 | $74.13 |
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 $28.18 Median $54.95 Typical High $104.71 | Facility | 52 · Reduced service | $28.18 | $54.95 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $21.88 Typical High $41.69 | Facility | 53 · Discontinued | $11.48 | $21.88 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.80 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 42nd of 51
$53.70
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.