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 $34.67 Median $60.26 Typical High $123.03 | Facility | None | $34.67 | $60.26 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $50.12 | Professional | None | $31.62 | $33.11 | $50.12 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $380.19 | Facility | None | $48.98 | $89.13 | $380.19 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $28.18 Typical High $30.90 | Professional | None | $3.47 | $28.18 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $87.10 Typical High $169.82 | Facility | None | $45.71 | $87.10 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $53.70 Typical High $67.61 | Professional | None | $20.89 | $53.70 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $177.83 | Professional | None | $44.67 | $64.57 | $177.83 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $50.12 | Facility | None | $40.74 | $48.98 | $50.12 |
United Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $43.65 | Professional | None | $16.98 | $26.30 | $43.65 |
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 $16.60 Median $30.20 Typical High $61.66 | Facility | 52 · Reduced service | $16.60 | $30.20 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $12.30 Typical High $24.55 | Facility | 53 · Discontinued | $6.61 | $12.30 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $6.61 | $7.24 |
Where Illinois sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 47th of 51
$30.90
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.