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 $64.57 Median $109.65 Typical High $239.88 | Facility | None | $64.57 | $109.65 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $79.43 | Professional | None | $63.10 | $64.57 | $79.43 |
BCBS Illinois Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $741.31 | Facility | None | $79.43 | $109.65 | $741.31 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $53.70 Typical High $60.26 | Professional | None | $3.47 | $53.70 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $323.59 | Facility | None | $83.18 | $158.49 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $85.11 Typical High $114.82 | Professional | None | $26.92 | $85.11 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $275.42 | Professional | None | $77.62 | $109.65 | $275.42 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $97.72 | Professional | None | $43.65 | $43.65 | $97.72 |
United Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $97.72 | Facility | None | $79.43 | $93.33 | $97.72 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $83.18 | Professional | None | $23.99 | $33.88 | $83.18 |
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 $32.36 Median $57.54 Typical High $120.23 | Facility | 52 · Reduced service | $32.36 | $57.54 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $22.91 Typical High $47.86 | Facility | 53 · Discontinued | $12.88 | $22.91 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.85 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 28th of 51
$60.26
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.