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 $51.29 Median $51.29 Typical High $141.25 | Facility | None | $51.29 | $51.29 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $51.29 | $51.29 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Illinois Setting Facility Modifier None Typical Low $27.54 Median $66.07 Typical High $81.28 | Facility | None | $27.54 | $66.07 | $81.28 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $3.47 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $3.47 | $43.65 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $123.03 Typical High $234.42 | Facility | None | $57.54 | $123.03 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $51.29 | $51.29 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $151.36 | Professional | None | $56.23 | $79.43 | $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 (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $64.57 | Facility | None | $51.29 | $61.66 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $21.38 | $30.90 | $51.29 |
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 Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Illinois sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 23rd of 51
$51.29
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.