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 $33.88 Typical High $83.18 | Facility | None | $22.91 | $33.88 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $33.88 | Professional | None | $21.88 | $22.91 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $33.11 | Professional | None | $16.60 | $18.62 | $33.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $288.40 | Facility | None | $25.70 | $38.90 | $288.40 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $21.38 Typical High $27.54 | Professional | None | $3.47 | $21.38 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $114.82 | Facility | None | $30.90 | $64.57 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $33.11 Typical High $50.12 | Professional | None | $14.45 | $33.11 | $50.12 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $177.83 | Professional | None | $27.54 | $44.67 | $177.83 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Molina Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $34.67 | Professional | None | $15.14 | $15.14 | $34.67 |
United Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $70.79 | Facility | None | $27.54 | $33.11 | $70.79 |
United Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $30.20 | Professional | None | $10.00 | $17.78 | $30.20 |
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 $11.48 Median $19.95 Typical High $41.69 | Facility | 52 · Reduced service | $11.48 | $19.95 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $8.13 Typical High $16.98 | Facility | 53 · Discontinued | $4.57 | $8.13 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.62 |
Where Illinois sits
The same service costs 3.5 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· 35th of 51
$25.12
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.