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 $72.44 Median $81.28 Typical High $165.96 | Facility | None | $72.44 | $81.28 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $125.89 | Professional | None | $72.44 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $107.15 | Professional | None | $60.26 | $69.18 | $107.15 |
BCBS Illinois Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $1,513.56 | Facility | None | $239.88 | $416.87 | $1,513.56 |
BCBS Illinois Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $141.25 | Professional | None | $81.28 | $123.03 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $138.04 | Professional | None | $83.18 | $114.82 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $331.13 | Professional | None | $70.79 | $102.33 | $331.13 |
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 $87.10 Median $89.13 Typical High $95.50 | Professional | None | $87.10 | $89.13 | $95.50 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $154.88 | Professional | None | $69.18 | $104.71 | $154.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 59 · Distinct service | $70.79 | $70.79 | $70.79 |
Where Illinois sits
The same service costs 2.7 times more in Minnesota 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· 21st of 51
$105
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.