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 $30.90 Median $45.71 Typical High $114.82 | Facility | None | $30.90 | $45.71 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $33.88 | Professional | None | $19.50 | $30.90 | $33.88 |
BCBS Illinois Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $489.78 | Facility | None | $45.71 | $54.95 | $489.78 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $28.84 Typical High $28.84 | Professional | None | $3.47 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $173.78 | Facility | None | $37.15 | $85.11 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $53.70 | Professional | None | $17.38 | $19.05 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $575.44 | Professional | None | $38.90 | $58.88 | $575.44 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $46.77 | Professional | None | $26.30 | $26.30 | $46.77 |
United Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $46.77 | Facility | None | $38.02 | $45.71 | $46.77 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $30.20 | Professional | None | $5.01 | $7.24 | $30.20 |
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 $15.49 Median $29.51 Typical High $57.54 | Facility | 52 · Reduced service | $15.49 | $29.51 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $11.75 Typical High $22.91 | Facility | 53 · Discontinued | $6.17 | $11.75 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.76 |
Where Illinois sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 14th of 51
$28.84
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.