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 $24.55 Median $42.66 Typical High $131.83 | Facility | None | $24.55 | $42.66 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $43.65 | Professional | None | $25.70 | $35.48 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
BCBS Illinois Setting Facility Modifier None Typical Low $64.57 Median $269.15 Typical High $676.08 | Facility | None | $64.57 | $269.15 | $676.08 |
BCBS Illinois Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | None | $42.66 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $70.79 Typical High $169.82 | Facility | None | $3.24 | $70.79 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $37.15 Typical High $47.86 | Professional | None | $14.13 | $37.15 | $47.86 |
Hally Health Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $102.33 | Professional | None | $9.33 | $13.80 | $102.33 |
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 $11.48 Median $11.75 Typical High $12.88 | Professional | None | $11.48 | $11.75 | $12.88 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $13.80 | Professional | None | $3.47 | $6.92 | $13.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Facility | None | $851.14 | $851.14 | $954.99 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $37.15 | Professional | None | $12.88 | $19.50 | $37.15 |
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 $16.22 Median $22.39 Typical High $66.07 | Facility | 52 · Reduced service | $16.22 | $22.39 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $9.12 Typical High $26.30 | Facility | 53 · Discontinued | $6.46 | $9.12 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $7.24 | $7.24 |
Where Illinois sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 15th of 51
$42.66
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.