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 $50.12 Median $95.50 Typical High $186.21 | Facility | None | $50.12 | $95.50 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $54.95 | Professional | None | $39.81 | $50.12 | $54.95 |
BCBS Illinois Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $575.44 | Facility | None | $54.95 | $83.18 | $575.44 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $47.86 Typical High $47.86 | Professional | None | $3.47 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $257.04 | Facility | None | $69.18 | $123.03 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $69.18 Typical High $89.13 | Professional | None | $23.44 | $69.18 | $89.13 |
Hally Health Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $173.78 | Professional | None | $53.70 | $87.10 | $173.78 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $77.62 | Professional | None | $33.88 | $33.88 | $77.62 |
United Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $77.62 | Facility | None | $61.66 | $74.13 | $77.62 |
United Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $64.57 | Professional | None | $20.89 | $29.51 | $64.57 |
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 $25.12 Median $44.67 Typical High $93.33 | Facility | 52 · Reduced service | $25.12 | $44.67 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $17.78 Typical High $37.15 | Facility | 53 · Discontinued | $10.00 | $17.78 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $10.00 | $10.00 | $12.02 |
Where Illinois sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 29th of 51
$47.86
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.