How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.12 Median $26.92 Typical High $53.70 | Facility | None | $25.12 | $26.92 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $39.81 | Professional | None | $25.12 | $26.92 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $32.36 | Professional | None | $21.38 | $25.12 | $32.36 |
BCBS Setting Facility Modifier None Typical Low $114.82 Median $245.47 Typical High $489.78 | Facility | None | $114.82 | $245.47 | $489.78 |
BCBS Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $41.69 | Professional | None | $25.70 | $28.18 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $38.02 | Professional | None | $26.30 | $32.36 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $100.00 | Professional | None | $22.91 | $32.36 | $100.00 |
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 $27.54 Median $28.18 Typical High $29.51 | Professional | None | $27.54 | $28.18 | $29.51 |
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 $23.44 Median $30.90 Typical High $51.29 | Professional | None | $23.44 | $30.90 | $51.29 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | 59 · Distinct service | $21.88 | $21.88 | $21.88 |
Where Illinois sits
The same service costs 2.8 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· 30th of 51
$28.18
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.