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 $16.22 Median $30.90 Typical High $60.26 | Facility | None | $16.22 | $30.90 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $19.95 | Professional | None | $15.49 | $16.22 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
BCBS Illinois Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $204.17 | Facility | None | $26.92 | $57.54 | $204.17 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $15.14 Typical High $15.14 | Professional | None | $3.47 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $45.71 Typical High $81.28 | Facility | None | $21.88 | $45.71 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $23.44 Typical High $35.48 | Professional | None | $10.23 | $23.44 | $35.48 |
Hally Health Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $169.82 | Professional | None | $20.89 | $34.67 | $169.82 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $24.55 | Professional | None | $10.96 | $13.80 | $24.55 |
United Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $24.55 | Facility | None | $19.95 | $23.44 | $24.55 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $21.38 | Professional | None | $8.32 | $15.14 | $21.38 |
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 $8.13 Median $14.45 Typical High $30.20 | Facility | 52 · Reduced service | $8.13 | $14.45 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.24 Median $5.75 Typical High $12.02 | Facility | 53 · Discontinued | $3.24 | $5.75 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.98 |
Where Illinois sits
The same service costs 4.5 times more in Kansas 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· 48th of 51
$15.14
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.