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 $23.44 Median $44.67 Typical High $87.10 | Facility | None | $23.44 | $44.67 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $28.84 | Professional | None | $22.39 | $23.44 | $28.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $34.67 Median $50.12 Typical High $363.08 | Facility | None | $34.67 | $50.12 | $363.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | None | $19.95 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $67.61 Typical High $120.23 | Facility | None | $32.36 | $67.61 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $33.88 Typical High $51.29 | Professional | None | $15.14 | $33.88 | $51.29 |
Hally Health Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $251.19 | Professional | None | $30.20 | $46.77 | $251.19 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $36.31 | Professional | None | $15.85 | $15.85 | $36.31 |
United Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $36.31 | Facility | None | $28.84 | $34.67 | $36.31 |
United Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $30.90 | Professional | None | $12.02 | $22.39 | $30.90 |
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 $11.75 Median $20.89 Typical High $43.65 | Facility | 52 · Reduced service | $11.75 | $20.89 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $8.32 Typical High $17.38 | Facility | 53 · Discontinued | $4.68 | $8.32 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $14.45 | Professional | 52 · Reduced service | $11.75 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.75 |
Where Illinois sits
The same service costs 5.5 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· 37th of 51
$23.99
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.