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 $30.20 Median $52.48 Typical High $107.15 | Facility | None | $30.20 | $52.48 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $35.48 | Professional | None | $27.54 | $28.84 | $35.48 |
BCBS Illinois Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $363.08 | Facility | None | $44.67 | $75.86 | $363.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $26.92 Typical High $26.92 | Professional | None | $3.47 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $147.91 | Facility | None | $39.81 | $81.28 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $41.69 Typical High $63.10 | Professional | None | $18.20 | $41.69 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $316.23 | Professional | None | $35.48 | $54.95 | $316.23 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $44.67 | Professional | None | $19.50 | $19.50 | $44.67 |
United Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $48.98 | Facility | None | $35.48 | $42.66 | $48.98 |
United Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $38.02 | Professional | None | $13.80 | $22.39 | $38.02 |
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 $14.45 Median $25.70 Typical High $53.70 | Facility | 52 · Reduced service | $14.45 | $25.70 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $10.23 Typical High $21.38 | Facility | 53 · Discontinued | $5.75 | $10.23 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.08 |
Where Illinois sits
The same service costs 4.3 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· 45th of 51
$26.92
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.