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 $19.05 Median $32.36 Typical High $66.07 | Facility | None | $19.05 | $32.36 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $20.89 | Professional | None | $16.60 | $18.20 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $26.30 Median $38.90 Typical High $208.93 | Facility | None | $26.30 | $38.90 | $208.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $16.98 Typical High $16.98 | Professional | None | $3.47 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $93.33 | Facility | None | $25.12 | $44.67 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $38.02 | Professional | None | $10.96 | $25.70 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $141.25 | Professional | None | $23.44 | $34.67 | $141.25 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $27.54 | Professional | None | $12.30 | $15.49 | $27.54 |
United Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $27.54 | Facility | None | $22.39 | $26.30 | $27.54 |
United Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $23.99 | Professional | None | $9.33 | $14.13 | $23.99 |
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 $9.12 Median $16.22 Typical High $33.88 | Facility | 52 · Reduced service | $9.12 | $16.22 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $6.46 Typical High $13.49 | Facility | 53 · Discontinued | $3.63 | $6.46 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.47 |
Where Illinois sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 45th of 51
$16.98
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.