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 $19.50 Median $28.84 Typical High $70.79 | Facility | None | $19.50 | $28.84 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $21.38 | Professional | None | $15.14 | $19.50 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Illinois Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $218.78 | Facility | None | $28.18 | $40.74 | $218.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $18.20 Typical High $18.20 | Professional | None | $3.47 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $97.72 | Facility | None | $26.30 | $47.86 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $26.92 Typical High $36.31 | Professional | None | $10.72 | $26.92 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $331.13 | Professional | None | $24.55 | $35.48 | $331.13 |
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 $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $29.51 | Professional | None | $12.88 | $12.88 | $29.51 |
United Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $29.51 | Facility | None | $23.44 | $28.18 | $29.51 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $25.12 | Professional | None | $10.00 | $14.13 | $25.12 |
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 $9.77 Median $16.98 Typical High $35.48 | Facility | 52 · Reduced service | $9.77 | $16.98 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $6.92 Typical High $14.13 | Facility | 53 · Discontinued | $3.89 | $6.92 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | 52 · Reduced service | $9.77 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.68 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.68 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$18.20
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.