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 $134.90 | Facility | None | $36.31 | $69.18 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | None | $32.36 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
BCBS Illinois Setting Facility Modifier None Typical Low $53.70 Median $75.86 Typical High $562.34 | Facility | None | $53.70 | $75.86 | $562.34 |
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 $46.77 Median $89.13 Typical High $181.97 | Facility | None | $46.77 | $89.13 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $33.88 Typical High $63.10 | Professional | None | $9.33 | $33.88 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $107.15 | Professional | None | $44.67 | $60.26 | $107.15 |
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 $24.55 Median $24.55 Typical High $54.95 | Professional | None | $24.55 | $24.55 | $54.95 |
United Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $54.95 | Facility | None | $44.67 | $53.70 | $54.95 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $46.77 | Professional | None | $9.77 | $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 $32.36 Typical High $67.61 | Facility | 52 · Reduced service | $18.20 | $32.36 | $67.61 |
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 $19.95 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.94 |
Where Illinois sits
The same service costs 5.4 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· 24th 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.