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 $21.38 Median $40.74 Typical High $77.62 | Facility | None | $21.38 | $40.74 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $25.70 | Professional | None | $20.42 | $21.38 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $269.15 | Facility | None | $30.90 | $47.86 | $269.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | None | $17.78 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $60.26 Typical High $107.15 | Facility | None | $28.84 | $60.26 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $30.20 Typical High $45.71 | Professional | None | $13.49 | $30.20 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $128.82 | Professional | None | $26.92 | $41.69 | $128.82 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $25.70 | Professional | None | $12.88 | $18.20 | $25.70 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $66.07 | Facility | None | $25.70 | $30.90 | $66.07 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $27.54 | Professional | None | $10.96 | $16.60 | $27.54 |
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 $10.47 Median $18.62 Typical High $38.90 | Facility | 52 · Reduced service | $10.47 | $18.62 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $7.41 Typical High $15.49 | Facility | 53 · Discontinued | $4.27 | $7.41 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.13 |
Where Illinois sits
The same service costs 4.0 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· 34th of 51
$22.39
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.