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 $21.38 Median $36.31 Typical High $77.62 | Facility | None | $21.38 | $36.31 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $39.81 | Professional | None | $20.89 | $21.38 | $39.81 |
BCBS Illinois Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $269.15 | Facility | None | $35.48 | $67.61 | $269.15 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $19.95 Typical High $19.95 | Professional | None | $3.47 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $60.26 Typical High $109.65 | Facility | None | $29.51 | $60.26 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $30.90 Typical High $46.77 | Professional | None | $13.49 | $30.90 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $186.21 | Professional | None | $27.54 | $44.67 | $186.21 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $32.36 | Professional | None | $14.45 | $14.45 | $32.36 |
United Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $32.36 | Facility | None | $26.30 | $31.62 | $32.36 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $28.18 | Professional | None | $10.96 | $16.98 | $28.18 |
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 $10.72 Median $19.05 Typical High $39.81 | Facility | 52 · Reduced service | $10.72 | $19.05 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $7.59 Typical High $15.85 | Facility | 53 · Discontinued | $4.27 | $7.59 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.25 |
Where Illinois sits
The same service costs 6.0 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· 49th of 51
$19.95
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.