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 $18.62 Median $35.48 Typical High $69.18 | Facility | None | $18.62 | $35.48 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $20.89 | Professional | None | $18.20 | $18.62 | $20.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $234.42 | Facility | None | $28.84 | $47.86 | $234.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | None | $15.49 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $52.48 Typical High $93.33 | Facility | None | $25.12 | $52.48 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $26.92 Typical High $40.74 | Professional | None | $11.75 | $26.92 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $138.04 | Professional | None | $23.99 | $39.81 | $138.04 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $28.18 | Professional | None | $12.59 | $15.85 | $28.18 |
United Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $57.54 | Facility | None | $22.91 | $26.92 | $57.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $24.55 | Professional | None | $9.55 | $17.38 | $24.55 |
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 $9.33 Median $16.60 Typical High $33.88 | Facility | 52 · Reduced service | $9.33 | $16.60 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $6.61 Typical High $13.80 | Facility | 53 · Discontinued | $3.72 | $6.61 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.57 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.57 |
Where Illinois sits
The same service costs 4.2 times more in Kansas 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· 36th of 51
$19.50
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.