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 $51.29 Median $51.29 Typical High $125.89 | Facility | None | $51.29 | $51.29 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | None | $51.29 | $51.29 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $51.29 | Professional | None | $25.70 | $30.20 | $51.29 |
BCBS Illinois Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $851.14 | Facility | None | $61.66 | $74.13 | $851.14 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $43.65 Typical High $51.29 | Professional | None | $3.47 | $43.65 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $123.03 Typical High $234.42 | Facility | None | $57.54 | $123.03 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $63.10 Typical High $85.11 | Professional | None | $26.30 | $63.10 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $151.36 | Professional | None | $56.23 | $79.43 | $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 $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $64.57 | Facility | None | $51.29 | $61.66 | $64.57 |
United Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $54.95 | Professional | None | $30.90 | $40.74 | $54.95 |
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 $25.70 Median $48.98 Typical High $95.50 | Facility | 52 · Reduced service | $25.70 | $48.98 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $19.50 Typical High $38.02 | Facility | 53 · Discontinued | $10.23 | $19.50 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Where Illinois sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 25th of 51
$51.29
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.