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 $43.65 Typical High $85.11 | Facility | None | $22.91 | $43.65 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | None | $20.89 | $22.91 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
BCBS Illinois Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $263.03 | Facility | None | $23.44 | $40.74 | $263.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $21.38 Typical High $21.38 | Professional | None | $3.47 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $128.82 | Facility | None | $30.90 | $67.61 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $32.36 Typical High $42.66 | Professional | None | $13.18 | $32.36 | $42.66 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $165.96 | Professional | None | $29.51 | $44.67 | $165.96 |
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 $19.50 Median $19.50 Typical High $34.67 | Professional | None | $19.50 | $19.50 | $34.67 |
United Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $34.67 | Facility | None | $28.18 | $33.88 | $34.67 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $29.51 | Professional | None | $11.75 | $16.60 | $29.51 |
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 $21.88 Typical High $42.66 | Facility | 52 · Reduced service | $11.48 | $21.88 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $8.71 Typical High $16.98 | Facility | 53 · Discontinued | $4.57 | $8.71 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.01 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.01 |
Where Illinois sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 43rd of 51
$21.38
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.