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 $19.95 Median $29.51 Typical High $72.44 | Facility | None | $19.95 | $29.51 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $32.36 | Professional | None | $19.05 | $19.95 | $32.36 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $251.19 | Facility | None | $30.90 | $51.29 | $251.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $18.62 Typical High $18.62 | Professional | None | $3.47 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $56.23 Typical High $100.00 | Facility | None | $26.92 | $56.23 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $28.84 Typical High $43.65 | Professional | None | $12.59 | $28.84 | $43.65 |
Hally Health Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $186.21 | Professional | None | $25.70 | $42.66 | $186.21 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $30.20 | Professional | None | $13.49 | $13.49 | $30.20 |
United Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $30.20 | Facility | None | $24.55 | $29.51 | $30.20 |
United Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $26.30 | Professional | None | $10.23 | $15.49 | $26.30 |
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 $10.00 Median $17.78 Typical High $37.15 | Facility | 52 · Reduced service | $10.00 | $17.78 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $7.08 Typical High $14.79 | Facility | 53 · Discontinued | $3.98 | $7.08 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.90 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.90 |
Where Illinois sits
The same service costs 4.0 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· 49th of 51
$18.62
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.