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 $28.18 Median $50.12 Typical High $102.33 | Facility | None | $28.18 | $50.12 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $27.54 Typical High $52.48 | Professional | None | $26.92 | $27.54 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS Illinois Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $346.74 | Facility | None | $42.66 | $74.13 | $346.74 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $26.30 Typical High $26.30 | Professional | None | $3.47 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $141.25 | Facility | None | $38.02 | $77.62 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $39.81 Typical High $60.26 | Professional | None | $17.38 | $39.81 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $151.36 | Professional | None | $35.48 | $53.70 | $151.36 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $42.66 | Professional | None | $18.62 | $18.62 | $42.66 |
United Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $42.66 | Facility | None | $33.88 | $40.74 | $42.66 |
United Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $36.31 | Professional | None | $14.13 | $22.39 | $36.31 |
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 $13.80 Median $24.55 Typical High $51.29 | Facility | 52 · Reduced service | $13.80 | $24.55 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $9.77 Typical High $20.42 | Facility | 53 · Discontinued | $5.50 | $9.77 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.76 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$26.30
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.