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 $77.62 Median $134.90 Typical High $288.40 | Facility | None | $77.62 | $134.90 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $85.11 | Professional | None | $72.44 | $77.62 | $85.11 |
BCBS Illinois Setting Facility Modifier None Typical Low $114.82 Median $165.96 Typical High $1,202.26 | Facility | None | $114.82 | $165.96 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.80 Median $74.13 Typical High $74.13 | Professional | None | $3.80 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $398.11 | Facility | None | $107.15 | $199.53 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $144.54 | Professional | None | $50.12 | $109.65 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $257.04 | Professional | None | $100.00 | $147.91 | $257.04 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $120.23 | Professional | None | $52.48 | $52.48 | $120.23 |
United Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $120.23 | Facility | None | $95.50 | $114.82 | $120.23 |
United Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $102.33 | Professional | None | $39.81 | $61.66 | $102.33 |
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 $38.90 Median $69.18 Typical High $144.54 | Facility | 52 · Reduced service | $38.90 | $69.18 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $27.54 Typical High $57.54 | Facility | 53 · Discontinued | $15.85 | $27.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.38 |
Where Illinois sits
The same service costs 5.4 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· 35th of 51
$77.62
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.