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 $33.11 Median $53.70 Typical High $104.71 | Facility | None | $33.11 | $53.70 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $46.77 | Professional | None | $30.20 | $33.11 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $57.54 | Professional | None | $19.50 | $19.50 | $57.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $398.11 | Facility | None | $48.98 | $83.18 | $398.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $29.51 Typical High $29.51 | Professional | None | $3.47 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $162.18 | Facility | None | $43.65 | $89.13 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $45.71 Typical High $69.18 | Professional | None | $19.95 | $45.71 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $204.17 | Professional | None | $40.74 | $67.61 | $204.17 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $47.86 | Professional | None | $21.38 | $21.38 | $47.86 |
United Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $100.00 | Facility | None | $38.90 | $46.77 | $100.00 |
United Setting Professional Modifier None Typical Low $16.22 Median $29.51 Typical High $41.69 | Professional | None | $16.22 | $29.51 | $41.69 |
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 $15.85 Median $28.18 Typical High $58.88 | Facility | 52 · Reduced service | $15.85 | $28.18 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $11.22 Typical High $23.44 | Facility | 53 · Discontinued | $6.31 | $11.22 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.92 |
Where Illinois sits
The same service costs 4.7 times more in Alaska 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· 48th of 51
$29.51
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.