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 $21.88 Median $37.15 Typical High $75.86 | Facility | None | $21.88 | $37.15 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $38.90 | Professional | None | $19.50 | $20.89 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $331.13 | Facility | None | $30.20 | $37.15 | $331.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $19.50 Typical High $19.50 | Professional | None | $3.47 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $57.54 Typical High $117.49 | Facility | None | $28.84 | $57.54 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $36.31 | Professional | None | $11.48 | $12.88 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $144.54 | Professional | None | $26.92 | $40.74 | $144.54 |
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 $14.13 Median $17.78 Typical High $31.62 | Professional | None | $14.13 | $17.78 | $31.62 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $31.62 | Facility | None | $25.70 | $30.20 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $30.20 | Professional | None | $10.72 | $15.14 | $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 $10.47 Median $19.95 Typical High $38.90 | Facility | 52 · Reduced service | $10.47 | $19.95 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $7.94 Typical High $15.49 | Facility | 53 · Discontinued | $4.17 | $7.94 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $11.48 | Professional | 52 · Reduced service | $10.47 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.57 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.57 |
Where Illinois sits
The same service costs 3.8 times more in Alaska 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· 42nd of 51
$19.50
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.