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 $22.91 Median $39.81 Typical High $81.28 | Facility | None | $22.91 | $39.81 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $32.36 | Professional | None | $20.89 | $21.88 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $275.42 | Facility | None | $33.88 | $57.54 | $275.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $20.42 Typical High $20.42 | Professional | None | $3.47 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $112.20 | Facility | None | $30.20 | $61.66 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $31.62 Typical High $47.86 | Professional | None | $13.80 | $31.62 | $47.86 |
Hally Health Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $208.93 | Professional | None | $28.18 | $46.77 | $208.93 |
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 $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | None | $18.62 | $18.62 | $33.11 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $69.18 | Facility | None | $26.92 | $32.36 | $69.18 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $28.84 | Professional | None | $11.22 | $16.98 | $28.84 |
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 $10.96 Median $19.50 Typical High $40.74 | Facility | 52 · Reduced service | $10.96 | $19.50 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $7.76 Typical High $16.22 | Facility | 53 · Discontinued | $4.37 | $7.76 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $10.96 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.37 |
Where Illinois sits
The same service costs 3.5 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· 49th of 51
$20.42
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.