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 $45.71 Median $72.44 Typical High $141.25 | Facility | None | $45.71 | $72.44 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $39.81 Typical High $51.29 | Professional | None | $21.38 | $39.81 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS Illinois Setting Facility Modifier None Typical Low $36.31 Median $63.10 Typical High $234.42 | Facility | None | $36.31 | $63.10 | $234.42 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $35.48 Typical High $46.77 | Professional | None | $3.47 | $35.48 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $93.33 Typical High $194.98 | Facility | None | $30.20 | $93.33 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $61.66 | Professional | None | $24.55 | $24.55 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $151.36 | Professional | None | $46.77 | $66.07 | $151.36 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $57.54 | Professional | None | $25.70 | $32.36 | $57.54 |
United Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $57.54 | Facility | None | $46.77 | $56.23 | $57.54 |
United Setting Professional Modifier None Typical Low $10.72 Median $19.50 Typical High $48.98 | Professional | None | $10.72 | $19.50 | $48.98 |
2 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 Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.32 |
Where Illinois sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 24th of 51
$35.48
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.