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 $20.89 Median $24.55 Typical High $28.84 | Facility | None | $20.89 | $24.55 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $33.11 | Professional | None | $20.89 | $24.55 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $40.74 | Professional | None | $26.30 | $33.88 | $40.74 |
BCBS Illinois Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $616.60 | Facility | None | $144.54 | $309.03 | $616.60 |
BCBS Illinois Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $42.66 | Professional | None | $29.51 | $35.48 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $50.12 | Professional | None | $32.36 | $38.02 | $50.12 |
Hally Health Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $93.33 | Professional | None | $30.20 | $39.81 | $93.33 |
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 $35.48 Median $37.15 Typical High $40.74 | Professional | None | $35.48 | $37.15 | $40.74 |
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 Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $58.88 | Professional | None | $30.90 | $38.02 | $58.88 |
3 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 $12.30 Median $13.80 Typical High $19.05 | Facility | 52 · Reduced service | $12.30 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $13.80 | $14.45 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $32.36 Median $42.66 Typical High $45.71 | Professional | 25 · Same-day visit | $32.36 | $42.66 | $45.71 |
Where Illinois sits
The same service costs 2.5 times more in Alaska than in New York. 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· 19th 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.