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 $19.95 Median $34.67 Typical High $72.44 | Facility | None | $19.95 | $34.67 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | None | $18.62 | $19.95 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $19.05 Median $32.36 Typical High $57.54 | Facility | None | $19.05 | $32.36 | $57.54 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $18.62 Typical High $23.99 | Professional | None | $3.47 | $18.62 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $53.70 Typical High $100.00 | Facility | None | $19.05 | $53.70 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | None | $12.88 | $12.88 | $31.62 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $38.90 Typical High $204.17 | Professional | None | $24.55 | $38.90 | $204.17 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $30.20 | Professional | None | $16.98 | $23.99 | $30.20 |
United Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $30.20 | Facility | None | $23.99 | $28.84 | $30.20 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $25.70 | Professional | None | $10.00 | $16.98 | $25.70 |
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 $9.77 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.37 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.37 |
Where Illinois sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 32nd of 51
$19.95
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.