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 $15.85 Median $29.51 Typical High $56.23 | Facility | None | $15.85 | $29.51 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $16.60 | Professional | None | $13.80 | $15.14 | $16.60 |
BCBS Illinois Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $239.88 | Facility | None | $22.39 | $26.92 | $239.88 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $14.45 Typical High $14.45 | Professional | None | $3.47 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $44.67 Typical High $87.10 | Facility | None | $20.89 | $44.67 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $21.38 Typical High $28.18 | Professional | None | $8.71 | $21.38 | $28.18 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $151.36 | Professional | None | $19.50 | $29.51 | $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 $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $23.44 | Professional | None | $13.18 | $13.18 | $23.44 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $23.44 | Facility | None | $18.62 | $22.39 | $23.44 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $19.95 | Professional | None | $7.76 | $11.22 | $19.95 |
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 $7.59 Median $14.45 Typical High $28.18 | Facility | 52 · Reduced service | $7.59 | $14.45 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $5.89 Typical High $11.22 | Facility | 53 · Discontinued | $3.09 | $5.89 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.39 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.39 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 36th of 51
$14.45
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.