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 $33.88 Median $51.29 Typical High $125.89 | Facility | None | $33.88 | $51.29 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $41.69 | Professional | None | $22.91 | $33.88 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $524.81 | Facility | None | $50.12 | $72.44 | $524.81 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $32.36 Typical High $32.36 | Professional | None | $3.47 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $85.11 Typical High $173.78 | Facility | None | $46.77 | $85.11 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $47.86 Typical High $63.10 | Professional | None | $16.98 | $47.86 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $275.42 | Professional | None | $39.81 | $58.88 | $275.42 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Molina Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $52.48 | Professional | None | $22.91 | $22.91 | $52.48 |
United Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $52.48 | Facility | None | $41.69 | $50.12 | $52.48 |
United Setting Professional Modifier None Typical Low $9.12 Median $22.91 Typical High $44.67 | Professional | None | $9.12 | $22.91 | $44.67 |
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 $16.98 Median $30.20 Typical High $63.10 | Facility | 52 · Reduced service | $16.98 | $30.20 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $12.02 Typical High $25.12 | Facility | 53 · Discontinued | $6.92 | $12.02 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $16.98 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $6.92 | $8.32 |
Where Illinois sits
The same service costs 3.9 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· 33rd of 51
$32.36
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.