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 $26.30 Median $31.62 Typical High $40.74 | Facility | None | $26.30 | $31.62 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $34.67 | Professional | None | $26.30 | $29.51 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | None | $34.67 | $38.02 | $38.02 |
BCBS Setting Facility Modifier None Typical Low $61.66 Median $416.87 Typical High $776.25 | Facility | None | $61.66 | $416.87 | $776.25 |
BCBS Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $52.48 | Professional | None | $28.84 | $43.65 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $40.74 | Professional | None | $28.18 | $28.84 | $40.74 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $75.86 | Professional | None | $27.54 | $32.36 | $75.86 |
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 |
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 Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,047.13 | $1,202.26 |
United Setting Professional Modifier None Typical Low $33.88 Median $70.79 Typical High $70.79 | Professional | None | $33.88 | $70.79 | $70.79 |
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 $15.49 Median $17.38 Typical High $19.50 | Facility | 52 · Reduced service | $15.49 | $17.38 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $7.76 | Facility | 53 · Discontinued | $6.17 | $6.92 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.92 | $6.92 |
Where Illinois sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 39th of 51
$33.88
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.