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 $20.89 Median $39.81 Typical High $75.86 | Facility | None | $20.89 | $39.81 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Professional | None | $19.50 | $20.89 | $22.91 |
BCBS Illinois Setting Facility Modifier None Typical Low $16.98 Median $33.88 Typical High $257.04 | Facility | None | $16.98 | $33.88 | $257.04 |
BCBS Illinois Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $54.95 Typical High $104.71 | Facility | None | $28.18 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $29.51 Typical High $44.67 | Professional | None | $13.18 | $29.51 | $44.67 |
Hally Health Setting Professional Modifier None Typical Low $25.12 Median $40.74 Typical High $125.89 | Professional | None | $25.12 | $40.74 | $125.89 |
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 $13.80 Median $13.80 Typical High $31.62 | Professional | None | $13.80 | $13.80 | $31.62 |
United Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $64.57 | Facility | None | $25.12 | $30.20 | $64.57 |
United Setting Professional Modifier None Typical Low $6.46 Median $15.14 Typical High $26.92 | Professional | None | $6.46 | $15.14 | $26.92 |
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 $10.23 Median $18.20 Typical High $38.02 | Facility | 52 · Reduced service | $10.23 | $18.20 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $7.24 Typical High $15.14 | Facility | 53 · Discontinued | $4.17 | $7.24 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $12.59 | Professional | 52 · Reduced service | $10.23 | $10.23 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.01 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.01 |
Where Illinois sits
The same service costs 3.5 times more in Kansas 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· 36th of 51
$20.89
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.