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 $67.61 Median $128.82 Typical High $245.47 | Facility | None | $67.61 | $128.82 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $74.13 | Professional | None | $61.66 | $67.61 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $1,023.29 | Facility | None | $97.72 | $141.25 | $1,023.29 |
BCBS Illinois Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $338.84 | Facility | None | $91.20 | $169.82 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $93.33 Typical High $125.89 | Professional | None | $42.66 | $93.33 | $125.89 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $380.19 | Professional | None | $85.11 | $125.89 | $380.19 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | None | $44.67 | $57.54 | $102.33 |
United Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $102.33 | Facility | None | $81.28 | $97.72 | $102.33 |
United Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $89.13 | Professional | None | $34.67 | $52.48 | $89.13 |
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 $33.88 Median $58.88 Typical High $123.03 | Facility | 52 · Reduced service | $33.88 | $58.88 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $23.99 Typical High $50.12 | Facility | 53 · Discontinued | $13.49 | $23.99 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | 53 · Discontinued | $13.49 | $13.49 | $14.79 |
Where Illinois sits
The same service costs 4.9 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· 33rd of 51
$67.61
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.