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 $40.74 Median $58.88 Typical High $144.54 | Facility | None | $40.74 | $58.88 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $74.13 | Professional | None | $36.31 | $38.90 | $74.13 |
BCBS Illinois Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $446.68 | Facility | None | $64.57 | $144.54 | $446.68 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $37.15 Typical High $37.15 | Professional | None | $3.47 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $109.65 Typical High $199.53 | Facility | None | $53.70 | $109.65 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $56.23 Typical High $75.86 | Professional | None | $25.12 | $56.23 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $309.03 | Professional | None | $48.98 | $67.61 | $309.03 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $60.26 | Professional | None | $26.30 | $26.30 | $60.26 |
United Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $60.26 | Facility | None | $47.86 | $57.54 | $60.26 |
United Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $51.29 | Professional | None | $19.95 | $30.20 | $51.29 |
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 $19.50 Median $34.67 Typical High $72.44 | Facility | 52 · Reduced service | $19.50 | $34.67 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $13.80 Typical High $28.84 | Facility | 53 · Discontinued | $7.76 | $13.80 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 52 · Reduced service | $19.50 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $7.76 | $7.76 | $9.55 |
Where Illinois sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 46th of 51
$37.15
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.