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 $58.88 Median $112.20 Typical High $213.80 | Facility | None | $58.88 | $112.20 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $70.79 | Professional | None | $57.54 | $58.88 | $70.79 |
BCBS Illinois Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $660.69 | Facility | None | $74.13 | $102.33 | $660.69 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $54.95 Typical High $54.95 | Professional | None | $3.47 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $144.54 Typical High $295.12 | Facility | None | $79.43 | $144.54 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $81.28 Typical High $109.65 | Professional | None | $33.88 | $81.28 | $109.65 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $281.84 | Professional | None | $57.54 | $100.00 | $281.84 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $89.13 | Professional | None | $38.90 | $50.12 | $89.13 |
United Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $89.13 | Facility | None | $70.79 | $85.11 | $89.13 |
United Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $75.86 | Professional | None | $28.84 | $42.66 | $75.86 |
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 $29.51 Median $51.29 Typical High $107.15 | Facility | 52 · Reduced service | $29.51 | $51.29 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $20.89 Typical High $42.66 | Facility | 53 · Discontinued | $11.75 | $20.89 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $11.75 | $11.75 | $14.13 |
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· 39th of 51
$54.95
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.