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 $17.38 Median $29.51 Typical High $60.26 | Facility | None | $17.38 | $29.51 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $26.30 | Professional | None | $15.49 | $16.98 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
BCBS Illinois Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $208.93 | Facility | None | $25.70 | $42.66 | $208.93 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $13.80 Typical High $15.49 | Professional | None | $3.47 | $13.80 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $46.77 Typical High $87.10 | Facility | None | $22.39 | $46.77 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $27.54 Typical High $40.74 | Professional | None | $10.47 | $27.54 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $120.23 | Professional | None | $21.88 | $33.88 | $120.23 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
United Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $25.12 | Facility | None | $19.95 | $23.99 | $25.12 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $21.38 | Professional | None | $8.51 | $12.88 | $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 $3.31 Median $5.75 Typical High $12.02 | Facility | 53 · Discontinued | $3.31 | $5.75 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.63 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.63 |
Where Illinois sits
The same service costs 4.3 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· 47th of 51
$15.49
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.