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 $36.31 Median $69.18 Typical High $131.83 | Facility | None | $36.31 | $69.18 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $43.65 | Professional | None | $35.48 | $36.31 | $43.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $549.54 | Facility | None | $52.48 | $77.62 | $549.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $33.88 Typical High $33.88 | Professional | None | $3.47 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $181.97 | Facility | None | $38.02 | $89.13 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $38.90 Typical High $64.57 | Professional | None | $12.30 | $38.90 | $64.57 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $61.66 Typical High $223.87 | Professional | None | $35.48 | $61.66 | $223.87 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | None | $30.90 | $30.90 | $54.95 |
United Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $54.95 | Facility | None | $43.65 | $52.48 | $54.95 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $46.77 | Professional | None | $12.59 | $18.62 | $46.77 |
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 $18.20 Median $31.62 Typical High $66.07 | Facility | 52 · Reduced service | $18.20 | $31.62 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $12.88 Typical High $26.92 | Facility | 53 · Discontinued | $7.24 | $12.88 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.71 |
Where Illinois sits
The same service costs 5.6 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· 26th of 51
$33.88
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.