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 $39.81 Median $77.62 Typical High $147.91 | Facility | None | $39.81 | $77.62 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $48.98 | Professional | None | $38.02 | $39.81 | $48.98 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $512.86 | Facility | None | $61.66 | $104.71 | $512.86 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $38.02 Typical High $38.02 | Professional | None | $3.47 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $204.17 | Facility | None | $54.95 | $114.82 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $87.10 | Professional | None | $25.70 | $57.54 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $239.88 | Professional | None | $51.29 | $85.11 | $239.88 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $61.66 | Professional | None | $26.92 | $26.92 | $61.66 |
United Setting Facility Modifier None Typical Low $48.98 Median $58.88 Typical High $120.23 | Facility | None | $48.98 | $58.88 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $30.90 Typical High $52.48 | Professional | None | $20.42 | $30.90 | $52.48 |
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 $19.95 Median $35.48 Typical High $74.13 | Facility | 52 · Reduced service | $19.95 | $35.48 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $14.13 Typical High $29.51 | Facility | 53 · Discontinued | $7.94 | $14.13 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $7.94 | $9.77 |
Where Illinois sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 47th of 51
$38.02
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.