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 $22.39 Median $37.15 Typical High $75.86 | Facility | None | $22.39 | $37.15 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $30.90 | Professional | None | $19.95 | $20.89 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
BCBS Illinois Setting Facility Modifier None Typical Low $32.36 Median $54.95 Typical High $263.03 | Facility | None | $32.36 | $54.95 | $263.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $19.50 Typical High $19.50 | Professional | None | $3.47 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $58.88 Typical High $107.15 | Facility | None | $28.84 | $58.88 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $30.20 Typical High $45.71 | Professional | None | $13.18 | $30.20 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $138.04 | Professional | None | $25.70 | $40.74 | $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 $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $31.62 | Professional | None | $14.13 | $14.13 | $31.62 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $66.07 | Facility | None | $25.70 | $30.90 | $66.07 |
United Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $27.54 | Professional | None | $10.72 | $16.22 | $27.54 |
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 $10.47 Median $18.62 Typical High $38.90 | Facility | 52 · Reduced service | $10.47 | $18.62 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $7.41 Typical High $15.49 | Facility | 53 · Discontinued | $4.17 | $7.41 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | 52 · Reduced service | $10.47 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.13 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.13 |
Where Illinois sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 49th 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.